My Blog

By Peter Y. Siroka, DPM
April 15, 2021
Category: Foot Care
Tags: Diabetic Foot Care  

Your podiatrist in Stamford, CT, can help your feet when you have diabetes.

Do you have diabetes? If so, you need to find out all you can about how to protect your feet. That’s because diabetes can dramatically affect your extremities, especially your feet and toes. Dr. Peter Siroka in Stamford, CT, offers a full range of foot care services, including treatment for diabetic feet.

These are just a few of the most common questions about diabetic foot care:

How can diabetes affect my feet?

Diabetes causes problems with your immune, circulatory, and nervous systems. Immune system issues can impair your ability to heal. That means if you get a small cut or blister, it can turn into a painful diabetic ulcer. Circulatory issues can cause a lack of blood flow to your feet and toes, potentially causing tissue death and amputations. Nervous system problems can mean that if you injure your feet, you may not feel it. You are also at risk of developing diabetic neuropathy, a painful nerve condition.

What can I do to care for my feet?

There are several important steps you should take on a daily basis. Remember to:

  • Wash and dry your feet thoroughly to lower your risk of infection
  • Apply moisturizing cream to your feet and toes to keep your skin from drying out
  • Check your feet for open sores, cuts, or blisters
  • Apply antibiotic cream and bandage any injured areas to prevent infection
  • Do foot and toe stretches to boost blood flow

How can my podiatrist help my diabetic feet?

Regular foot examinations can help protect your feet. Your podiatrist is an expert at caring for diabetic feet. Dr. Siroka can diagnose and treat foot and toe issues early, so they don’t grow into major foot problems.

You don't have to suffer from diabetic foot issues when help is just a phone call away. To find out more about diabetic foot care and other foot care services, call Dr. Siroka in Stamford, CT, at (203) 614-8185  today!

By Peter Y. Siroka, DPM
January 14, 2021
Category: Foot Conditions

Be able to spot the telltale signs of plantar fasciitis.

If you are a dedicated runner, or if you simply spend most of the day on your feet, then you may find yourself dealing with achy, sore feet. Of course, heel pain is a frequent complaint. While there are many things that could be to blame for heel pain, one of the most common causes our Stamford, CT, podiatrist Dr. Peter Siroka sees is an inflammatory condition known as plantar fasciitis.

If you’re dealing with heel pain here in Stamford, CT, you may wish to read on to find out more about the signs and symptoms of plantar fasciitis.

You have flat feet or high arches

People with flat feet or incredibly high arches are more at risk for dealing with plantar fasciitis related heel pain. Imbalances or structural abnormalities in the foot can put more stress on the plantar fascia, leaving you prone to developing plantar fasciitis at some point during your lifetime.

Those with flat feet or high arches should talk with their podiatrists about types of footwear that can support both the heel and arches of the foot properly to prevent heel pain.

Your feet pain is worse in the morning

If you have plantar fasciitis, then you’ll most certainly be reminded of it in the morning. The first few steps once getting out of bed can cause a sharp, stabbing pain. That’s because the inflamed tissue stiffens while you are sleeping and walking around stretches them out. You will notice the pain subsiding as you continue to move around throughout the day.

Your pain eases with activity

Once the plantar fascia is stretched out you may notice heel pain improving; however, this is not a sign that you should get back to your daily workout. While you may find that the heel pain doesn’t bother your physical activities (for the most part), you will notice pain coming back with a vengeance as soon as you stop. If you have heel pain the best thing you can do is rest and avoid physical activity until the plantar fascia has fully healed.

Your pain radiates to the arches of your feet

The plantar fascia run the length of the feet from the heel bone to the toes and it also provides the arches of the feet with support, so it shouldn’t come as much of a surprise that the pain you feel at the bottom of the heel may also radiate to the arches of the feet. It’s particularly important that you wear supportive shoes (even around the house) to provide additional cushioning and support for your feet at this time.

Dealing with heel pain for the first time? Not sure if you are dealing with plantar fasciitis? Don’t worry; our Stamford, CT, podiatry team can give you the answers and care you’re looking for. Simply call us at (203) 614-8185 to schedule an evaluation.

By Peter Y. Siroka, DPM
December 24, 2020
Category: Foot Care
Tags: Bunions  

Bunions are bony protrusions along the side of the foot near the base of the big toe. They can develop when the metatarsophalangeal joint that connects the large toe to the rest of the foot becomes dislocated. Bunions will not heal on their own, but different treatment options are available. Plus, there are steps you can take to prevent them in the first place. Dr. Peter Siroka, the experienced podiatrist at our office in Stamford, CT, can help with bunions treatment and prevention.

Causes of Bunions

The primary cause of bunions is a dislocated toe joint. When the metatarsophalangeal joint slips out of place, the big toe slants toward the smaller ones. This slanted position can cause the dislocated joint to push up against the side of the foot and protrude outward, resulting in the formation of a bony bump which is known as a bunion. In addition to the discomfort of a dislocated big toe joint, the friction produced when the interior of the shoes rub against the bunions can also lead to pain and discomfort.

Many factors can contribute to a dislocated metatarsophalangeal toe joint. A toe or foot injury is one possible cause. Other causes include foot deformities or certain medical conditions, such as arthritis. Additionally, wearing shoes with high heels or that are extremely narrow or too tight on a regular basis can also cause the metatarsophalangeal joint to become dislocated. Bunions can develop when any of these factors lead to dislocation of the metatarsophalangeal joint.

Preventing Bunions

It is possible to prevent bunions by avoiding some of the factors that can contribute to a dislocated toe joint. For example, wearing shoes that have enough room for the toes so they are not cramped together can minimize the possibility of developing bunions. Further, wearing shoes with a low heel is also helpful.

Another way to prevent bunions from forming is by wearing custom orthotics inside your shoes. Orthotics provide cushioning, stability, and support. Additionally, custom orthotics correct foot alignment problems that could be putting excess strain on the metatarsophalangeal joint. Wearing orthotics can help reduce friction, inflammation, instability, pain, and discomfort.

Treatments for Bunions

Several methods are available for treating bunions. It is best to seek professional treatment if you do develop bunions since they will not go away on their own. Some options available at our office in Stamford for treating bunions include:

  • Special exercises to increase joint mobility
  • Custom orthotics to stabilize the toe joint
  • Protective padding in the shoes to reduce friction
  • The use of a night splint to realign the toe joint
  • Removal of foot corns and calluses
  • Surgical intervention

There are two main methods for performing bunion surgery. One approach is referred to as a head procedure. It involves strategically cutting the bone just behind the toe joint so that the joint can be repositioned. A pin or screw is used to hold everything in place so the joint does not become dislocated again. The other method is called a base procedure. This approach is a bit more involved and treats the bone near or behind the joint of the big toe. Different methods can be used in based procedures to return the bone and joint back to the proper position.

We can help you prevent bunions with individualized recommendations, such as specific exercises for improving joint mobility or custom orthotics to reduce friction and correct faulty foot alignment. Schedule an appointment with Dr. Peter Siroka for help preventing or treating bunions by calling our office in Stamford, CT, at (203) 614-8185.

By Peter Y. Siroka, DPM
November 05, 2020
Category: Foot Care
Tags: orthotics   Custom Orthotics  

Do you suffer from foot, ankle, leg or back pain? Custom orthotics provided by your Stamford, CT, podiatrist, Dr. Peter Siroka, may offer the solution to your problem.

What are orthotics?

Your feet must be perfectly aligned and balanced to properly support the weight of your body. Even minor issues can affect foot balance, alignment and stability and lead to foot, leg or back pain. Your arches might be too high or too low, your feet may turn in or out when you walk, or you may have a foot injury or deformity. Your orthotics are custom-designed for your feet and your specific foot condition.

Orthotics don't just offer arch support, although that's certainly an important function. The prescription shoe inserts also keep your feet properly aligned, prevent excessive foot motion and absorb shock. Thanks to the cushioning effect they offer, orthotics can reduce the risk of sores and blisters if you have diabetes or help you avoid common running injuries like shin splints, runner's knee and tendonitis.

What types of orthotics are available?

During your visit to the Stamford podiatry office, your foot doctor may recommend one of these orthotic types:

  • Rigid Orthotics: These full-length inserts are made of rigid plastic or carbon. They can be helpful if you have leg pain, flat feet, back pain, different leg legs, an abnormal gait, or if you overpronate (turn your feet in when you walk.)
  • Semi-Rigid Orthotics: Semi-rigid orthotics also extend from your heels to your toes, but consist of a layer of softer materials over a rigid core. The orthotics provide a little cushioning and also help control balance and foot movement. They may be recommended if your child's toes turn in or out, or you have foot pain. Semi-rigid orthotics are a good choice for athletes too.
  • Soft Orthotics: Made of softer, more flexible materials than the other full-length orthotics, soft orthotics absorb shock, reduce pressure on the feet and offer ample cushioning. Soft orthotics may be a good option for you if you have diabetes, arthritis, bunions or hammertoes.
  • Heel Cups: Heel cups fit in the heel area of your shoes and offer extra cushioning that can reduce the pain of Achilles tendonitis, thinning fats pads under the heels, plantar fasciitis or heel spurs.

Orthotics offer a simple solution to pain and discomfort. Call your podiatrist in Stamford, CT, Dr. Siroka, at (203) 614-8185 to schedule your appointment.

By Peter Y. Siroka, DPM
August 19, 2020
Category: Foot Care
Tags: Bunions  

While many people think that bunions are just pesky bumps on the side-bottom portion of their big toe, they can be really serious since they change the affected toe’s anatomy, and in turn, the whole foot. Bunions develop over time, and what starts out as a big toe pointing directly towards the adjacent toe will gradually end up permanently altering the alignment affected foot’s bones.

This is why prompt diagnosis and treatment from your foot doctor, Dr. Peter Siroka of Peter Y. Siroka, DPM in Stamford, CT and serving Fairfield County, is critical to prevent your bunion’s progression.

Why You Have a Bunion

Bunions could be genetic or caused by constant and prolonged wearing of ill-fitting and unsupportive footwear. They likewise worsen when wearing footwear that is too small, fit improperly, and too tight. In some cases, arthritis and other inflammatory diseases could also result in bunions.

How a Bunion Feels Like

Most individuals don’t feel bunion symptoms during the early stages of its development. As the bunion grows, however, they may feel these telltale symptoms:

  • Physical pain or discomfort in the affected toe
  • Swelling, redness, and/or a burning sensation in the area
  • Walking difficulties
  • Possible numbness in the affected toe

Non-Surgical and Conservative Bunion Treatment Options

  • Wear properly-fitted footwear with sufficient toe space.
  • Have your footwear stretched professionally to provide room for the toes.
  • Cushion the bunion with pads to minimize pain.
  • Avoid things that lead to pain, including standing too long.
  • Wear customized orthotic devices as recommended by your foot doctor in Stamford, CT.

Surgical Bunion Treatment

Your podiatrist might recommend surgical intervention if after trying all the recommended non-surgical methods, you still feel pain and are having issues with walking. The specific type of bunion surgery you’ll need to undergo will be based on your age, the extent of deformity, your activity level, and overall health.

Bunion surgery is used for correcting the big toe’s anatomical position. It entails putting back the bones, nerves, tendons, and ligaments in their proper positions, and the removal of the bunion. It’s usually an outpatient procedure, and the recovery time would vary based on the procedures performed on the bunion.

Ready to Get Much-Needed Relief From Your Bunion? We Can Help

Arrange an evaluation with your foot doctor here at Peter Y. Siroka, DPM in Stamford, CT and serving Fairfield County, Dr. Peter Siroka, by dialing (203) 614-8185.





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