Dr. Yuko Miyazaki Podiatry Blog | Foot and Ankle Care Tips

What is a High Ankle Sprain?

Posted on 03.19.25 | Yuko Miyazaki, DPM |

High ankle sprains are more than just a twist or roll—they’re a significant type of ankle injury that can lead to long-term complications if not properly addressed. Unlike traditional ankle sprains, which affect the ligaments outside the ankle, high ankle sprains involve the ligaments connecting the two lower leg bones, the tibia and fibula. Understanding the seriousness of high ankle sprains and taking the right steps toward recovery is essential for preventing chronic pain, instability, and recurrent sprains.

Understanding High Ankle Sprains

Anatomy and Ligaments Involved

A high ankle sprain affects the syndesmotic ligaments that hold the tibia and fibula together above the ankle joint. These ligaments provide stability during movement and are crucial for maintaining proper alignment of the lower leg bones. When these ligaments are stretched or torn, it compromises the stability of the entire ankle.

Differentiating High Ankle Sprains from Traditional Sprains

High ankle sprains are typically more severe and require longer recovery times compared to traditional ankle sprains. While traditional sprains usually involve the ligaments on the outside of the ankle and allow for a quicker return to activity, high ankle sprains impact the joint’s overall stability and often need more intensive treatment. Ignoring or misdiagnosing a high ankle sprain can lead to long-term complications, making early and accurate diagnosis critical.

Risk Factors and Complications

Common Risk Factors

High ankle sprains are more common in activities that involve sudden twisting, cutting, or pivoting motions, such as football, soccer, and basketball. Other risk factors include:

Sports activities that involve rapid direction changes or contact.
Uneven surfaces that increase the risk of awkward foot placements.
Improper footwear that lacks ankle support or stability.

Potential Complications of Untreated High Ankle Sprains

If left untreated or improperly managed, high ankle sprains can lead to chronic pain, ankle instability, and recurrent sprains. Over time, the weakened ligaments may not fully heal, leading to long-term complications such as:

Chronic pain and inflammation due to ongoing instability.
Recurrent sprains because of weakened ligaments.
Arthritis in the ankle joint from long-term wear and tear.

Immediate Care for High Ankle Sprains

Proper care following a high ankle sprain can significantly impact recovery time and reduce the risk of complications. Follow these immediate care steps:

The RICE Approach

Elevation: Keep the ankle elevated above heart level to minimize swelling.
Rest: Avoid putting weight on the injured ankle.
Ice: Apply ice packs for 15-20 minutes several times a day to reduce swelling.
Compression: Use an elastic bandage to support the ankle, but avoid wrapping too tightly.

Ankle sprain Sport injury, Women has ankle sprain during outdoor exercise. Sports running knee injury in women runner.

Importance of Professional Evaluation

Unlike mild ankle sprains, high ankle sprains require a professional evaluation to assess the severity and determine the best course of action. Our podiatrist can perform physical exams and imaging tests to diagnose the injury accurately. Early diagnosis and treatment are crucial to prevent long-term complications.

Professional Treatment and Rehabilitation

Dr. Miyazaki specializes in foot and ankle injuries and is essential in diagnosing high ankle sprains accurately. They use imaging techniques such as X-rays or MRI scans to evaluate the extent of ligament damage.

Treatment Options for High Ankle Sprains

Treatment depends on the severity of the sprain and may include:

Bracing or Casting: To immobilize the ankle and promote healing.
Physical Therapy: To restore strength, flexibility, and stability.
Surgery: In severe cases where ligaments are completely torn or the bones are misaligned.

Rehabilitation and Recovery

Rehabilitation is crucial for regaining full function and preventing recurrent sprains. A structured physical therapy program focuses on:

Strengthening exercises for the ankle and lower leg muscles.
Balance and stability training to improve coordination.
Gradual return to activity to avoid re-injury.

Prevention Strategies for High Ankle Sprains

Preventing high ankle sprains involves taking proactive measures, including:

Wearing appropriate footwear that provides adequate ankle support.
Performing warm-up exercises to prepare the muscles and ligaments.
Using ankle braces during high-risk activities to add stability.
Incorporating balance exercises into your routine to enhance coordination.

Listening to Your Body and Seeking Professional Guidance

One of the most effective prevention strategies is to listen to your body. If you experience pain, discomfort, or instability, avoid pushing through it. schedule an appointment with Dr. Yuko Miyazaki to assess the condition and provide personalized recommendations for prevention and treatment.

High ankle sprains are serious injuries that require proper care and attention to avoid long-term complications. By understanding the anatomy, recognizing risk factors, seeking immediate care, and following professional treatment and rehabilitation plans, you can significantly reduce the risk of chronic pain and instability.

Prioritize your ankle health by wearing appropriate footwear, warming up before activities, and strengthening your ankle muscles. If you suspect a high ankle sprain or experience recurring pain, don’t wait—seek timely care to protect your long-term mobility and maintain an active, healthy lifestyle.

If you’re dealing with a high ankle sprain or want to learn more about injury prevention, schedule an appointment with Dr. Yuko Miyazaki today. We’re here to help you get back on your feet safely and confidently. Call us at (510) 647-3744 to get started.

How to Treat Ingrown Toenails at Home: When to Seek Professional Care

Posted on 02.12.25 | Yuko Miyazaki, DPM |

An ingrown toenail can be painful and frustrating, often making everyday activities uncomfortable. While some mild cases can be treated at home, severe or recurring ingrown toenails require professional care to prevent infections and long-term complications. In this guide, we’ll explore safe home treatment options and highlight when it’s essential to see our podiatrist.

Can You Treat an Ingrown Toenail at Home?

If you are in good overall health and your ingrown toenail is mild (without severe pain or signs of infection), home care may be an option. However, seeking professional care is often the safest and most effective approach. If you decide to try home treatment, follow the steps outlined below carefully.

When to See Dr. Miyazaki Instead

You should avoid home treatment and seek immediate podiatric care if:

You have diabetes, neuropathy, or poor circulation – These conditions increase the risk of serious infections and complications.
The pain is severe – Significant discomfort can indicate a deeper issue requiring professional treatment.
You notice signs of infection – Redness, swelling, pus drainage, or red streaks around the nail are warning signs.
You experience recurring ingrown toenails – Frequent ingrown nails may stem from improper nail trimming, genetics, or footwear issues that require expert care.

If any of these apply to you, contact our office immediately to prevent further complications.

How to Treat an Ingrown Toenail at Home

If you’ve determined home care is appropriate, follow these steps:

Soak your foot in warm water with Epsom salt or mild soap for 15 minutes, three times a day.
Gently massage the skin around the nail to reduce pressure.
Apply an antibiotic or antiseptic cream to prevent infection.
Loosely bandage the toe to protect it from irritation.
Wear open-toed shoes or go barefoot at home to minimize pressure on the nail.

Important: Do NOT attempt to cut or remove any part of the nail yourself. DIY nail removal often leads to infection and worsens the problem.

Monitor your symptoms closely. If the pain worsens, redness spreads, or swelling increases, contact our office for professional treatment.

ingrown toenail on a child's foot, medical issue, discomfort.

Professional Treatment for Ingrown Toenails

If home remedies don’t work or your ingrown toenail is severe, Dr. Miyazaki can provide safe, effective treatment. Here’s what to expect:

In-office nail removal – Our expert podiatrist will numb the area and remove the ingrown portion of the nail safely.
Infection prevention – If needed, a topical or oral antibiotic may be prescribed.
Permanent solution for chronic cases – If you frequently experience ingrown toenails, our podiatrist can remove part of the nail root to prevent recurrence.

The procedure is quick, virtually painless, and provides immediate relief. Most patients resume normal activities the same day with minimal aftercare.

Don’t Ignore an Ingrown Toenail—Get the Right Treatment Today!

Whether you try home treatment or opt for professional care, don’t let an ingrown toenail disrupt your life. If you need expert treatment, we’re here to help. Our office follows strict health and safety measures to ensure a comfortable visit.

Call our Berkeley office today at (510) 647-3744 to schedule an appointment and get relief from your ingrown toenail.

What does Athlete’s Foot look like?

Posted on 01.21.25 | Yuko Miyazaki, DPM |

Athlete’s foot, also known as tinea pedis, is a prevalent fungal infection that can significantly impact foot health if left untreated. Understanding its symptoms, causes, and treatments is essential for effective management and prevention.

Understanding Athlete’s Foot

Athlete’s foot is a fungal infection primarily affecting the skin between the toes but can spread to other areas such as the hands and groin. This condition thrives in warm, moist environments and is contagious.

Common Symptoms

Typical symptoms include:

Itching and Burning: Persistent irritation between the toes or on the soles of the feet.
Redness and Scaling: A red, scaly rash often accompanied by peeling skin.
Cracking and Blistering: In more severe cases, the skin may crack, causing pain or blisters.

Visual Signs of Athlete’s Foot

The condition often begins as a red and scaly rash. As the infection progresses, symptoms may worsen, leading to increased foot discomfort and complications like painful fissures or secondary bacterial infections.

Close-up bare feet of person feeling itchy and irritated try to scratching by toe.

Causes and Risk Factors

The fungus responsible for athlete’s foot thrives in damp environments. Common risk factors include:

Public Spaces: Locker rooms, communal showers, and swimming pools are breeding grounds for fungi.
Footwear Habits: Tight, non-breathable shoes create the ideal environment for fungal growth.
Personal Hygiene: Sharing towels, shoes, or socks increases the risk of infection.

Identifying Athlete’s Foot

Recognizing athlete’s foot early allows for prompt treatment. Key signs to look for include:

Red, scaly patches between the toes
Persistent itching or burning sensations
Peeling, cracking, or blistering skin
Dry, flaky skin on the soles of the feet

Treatment Options

Home Remedies and Over-the-Counter Medications

For mild cases, simple measures can provide relief:

Keep Feet Dry: Regularly wash and thoroughly dry your feet, especially between the toes.
Use Antifungal Products: Powders, creams, or sprays can effectively reduce fungal growth.
Change Footwear: Opt for breathable shoes and clean socks to maintain dryness.

Professional Treatment

When symptoms persist or worsen, consulting our podiatrist is essential. Professional treatments include:

Prescription Medications: Stronger topical treatments or oral antifungals can target stubborn infections.
Advanced Therapies: Combination treatments help manage severe or recurrent cases.

Prevention Strategies

Preventing athlete’s foot involves adopting proactive habits to protect your foot health:

Footwear Choices: Wear moisture-wicking socks and shoes made of breathable materials.
Foot Hygiene: Wash feet daily and dry thoroughly, paying attention to the areas between toes.
Use Shower Shoes: Protect your feet in communal showers or locker rooms.
Personal Care: Avoid sharing footwear, socks, or towels to minimize exposure.

When to Seek Professional Help

If over-the-counter treatments fail to provide relief, or if you experience severe symptoms, it’s important to seek expert care. Individuals with diabetes or compromised immune systems should be especially vigilant about foot health.

Early recognition and treatment of athlete’s foot are key to preventing discomfort and complications. Maintaining good foot hygiene and taking preventive measures can reduce the risk of recurrence.

For expert foot care and effective treatment options, contact our Berkley office at (510) 647-3744 or fill out our online form to schedule an appointment. Let us help you maintain healthy, comfortable feet.

Tips for Preventing and Treating Toenail Fungus

Posted on 12.17.24 | Yuko Miyazaki, DPM |

Toenail fungus, medically known as onychomycosis, is a common condition characterized by thick, brittle, discolored, and crumbly nails. While it may start as a minor inconvenience, untreated fungal infections can lead to significant nail damage and discomfort.

Early detection and treatment are crucial. Tackling toenail fungus promptly not only improves the chances of complete recovery but also prevents further complications.

The Challenge of Toenail Fungus

Treating toenail fungus is no easy feat. The infection penetrates deep into the nail bed, making it resistant to many treatments. Without timely intervention, the fungus has ample opportunity to spread and grow, worsening the condition.

Starting treatment as soon as you notice symptoms is essential for better results. The longer you wait, the more entrenched the infection becomes, complicating the recovery process.

Person with yellow toenails. Possible toenail fungus

Importance of Early Treatment

Early treatment of toenail fungus significantly increases the likelihood of fully eradicating the infection. The sooner you begin treatment, the less damage the fungus can inflict on your nails.

Unfortunately, toenail fungus is often overlooked in its initial stages. Subtle changes in nail color or texture may go unnoticed, allowing the infection to progress. Recognizing these early signs and seeking prompt care can make a big difference in outcomes.

The Toenail Fungus Treatment Process

Treating toenail fungus involves a combination of professional care and personal diligence.

Professional Treatment: Podiatrists may use oral antifungal medications, topical treatments, or advanced procedures like laser therapy to target the infection.
Patience is Key: Recovery is a gradual process. Even when the fungus is eliminated, the damaged nail tissue will not revert to its original state. Instead, healthy nail growth will replace the infected area over time.

Consistency and adherence to your treatment plan are essential for success.

Tips for Preventing and Treating Toenail Fungus

Avoid Polish and Artificial Nails

While covering up discolored nails with polish or artificial nails may seem like a quick fix, it can worsen the problem. Fungus thrives in dark, moist environments, and these coverings trap moisture against the nail, creating an ideal breeding ground.

Consider antifungal nail polish as part of your treatment plan, as recommended by our podiatrist. These products combat fungus while improving nail appearance.

Wear Breathable Socks and Shoes

Fungus loves moisture, so keeping your feet dry is crucial. Opt for socks made from moisture-wicking materials such as acrylic, merino wool, or polyester, which are better than cotton at reducing dampness.

Choose breathable mesh shoes when possible and ensure they have a roomy toe box for comfort and prevention. Switching socks during the day can also help if your feet sweat excessively.

Use Antifungal Measures on Your Shoes

Fungus can linger in your shoes, making it essential to disinfect them regularly.

Allow shoes to air out for at least 24 hours between wears.
Use antifungal sprays or powders inside your shoes.
Avoid sharing shoes to minimize the risk of spreading the infection.

Trim and Thin Your Nails

Keeping your nails trimmed and thin enhances the penetration of antifungal treatments, improving their effectiveness.

While our podiatrist may professionally thin nails during treatment, we can also guide you on how to safely maintain your nails at home if appropriate.

Get Professional Help

While some home remedies claim to treat toenail fungus, their effectiveness is often unproven. Our skilled team can provide an accurate diagnosis and recommend evidence-based treatments tailored to your condition.

Professional care ensures you’re using the most effective methods to eliminate the infection and restore your nails to health.

Toenail fungus is a persistent foe, but with the right approach, you can regain healthy nails. If you’re struggling with toenail fungus or other nail and skin conditions, don’t wait to seek professional help.

For expert treatment of toenail fungus and other foot health concerns, schedule an appointment with Dr. Miyazaki today. Call our Berkley office at (510) 647-3744 or send your questions and appointment requests via our online form.

Heel Spurs & Plantar Fasciitis

Posted on 11.18.24 | Yuko Miyazaki, DPM |

Heel pain is a common complaint, often caused by either heel spurs or plantar fasciitis—or a combination of both. These conditions can impact foot health significantly, causing pain that affects daily activities. Knowing the relationship between bone spurs and plantar fasciitis is essential for achieving an accurate diagnosis and selecting effective treatment strategies.

Understanding Heel Spurs

Bone spurs, medically known as osteophytes, are bony protrusions that can develop along the edges of bones, including the heel bone (calcaneus). In cases of plantar fasciitis, bone spurs may form at the attachment site of the plantar fascia, a thick tissue band running along the bottom of the foot. Bone spurs typically develop in response to repetitive stress or strain, often due to prolonged standing, repetitive impact activities, or ill-fitting footwear. As stress accumulates over time, the body responds by forming bone spurs to protect and stabilize the affected area.

Exploring Plantar Fasciitis

Plantar fasciitis is an inflammation of the plantar fascia, the tissue band that supports the arch of the foot and absorbs impact during activities like walking or running. This inflammation is typically caused by factors such as overuse, improper footwear, biomechanical issues, or repetitive strain injuries. Plantar fasciitis can lead to persistent heel pain, especially in the morning or after extended periods of inactivity. Without proper care, the inflammation can become chronic, resulting in ongoing discomfort and limited mobility.

The Link Between Bone Spurs and Plantar Fasciitis

There is a clear relationship between bone spurs and plantar fasciitis. Bone spurs often develop where the plantar fascia attaches to the heel bone, a location under constant strain and tension. When bone spurs are present, they can exacerbate symptoms of plantar fasciitis by further irritating the surrounding tissues. This leads to increased pain, stiffness, and discomfort, particularly during weight-bearing activities. Addressing both conditions together is crucial for effective relief and improved foot health.

Diagnosis and Imaging Techniques

Accurate diagnosis of bone spurs and plantar fasciitis is essential to creating a successful treatment plan. The diagnostic process usually includes:

Physical Examination: Our seasoned podiatrist will assess pain levels, range of motion, and foot structure to determine the potential causes of discomfort.
Imaging Tests: X-rays, ultrasound, or MRI may be utilized to visualize bone spurs and assess any damage to the plantar fascia or other soft tissues. These imaging techniques provide crucial insights, enabling a more precise diagnosis and better treatment planning.

The combination of a thorough physical examination and imaging tests allows for a tailored approach to managing both conditions.

Treatment Approaches

Several treatment options exist for bone spurs and plantar fasciitis, ranging from conservative methods to more advanced therapies:

Conservative Treatments
- RICE Therapy: Rest, ice, compression, and elevation are recommended to reduce inflammation and pain.
- Stretching and Strengthening Exercises: These exercises help improve flexibility, reduce strain on the plantar fascia, and can gradually alleviate symptoms.
- Orthotic Devices or Shoe Inserts: Customized orthotics provide additional support, cushioning, and proper alignment to alleviate pressure on the heel.
Advanced Treatment Options
- Corticosteroid Injections: In cases of severe pain, corticosteroid injections may offer temporary relief by reducing inflammation.
- Extracorporeal Shockwave Therapy (ESWT): This non-invasive therapy uses targeted shockwaves to stimulate tissue healing and reduce pain, ideal for individuals with chronic plantar fasciitis who are unresponsive to conservative treatments.

Woman walking barefoot indoors without heel pain

Surgical Intervention

In cases where conservative and advanced therapies have not provided adequate relief, surgery may be considered. Surgical procedures aim to either release tension in the plantar fascia or remove problematic bone spurs. Surgical options are typically reserved for severe, chronic cases and are performed when other treatments fail to resolve the pain effectively.

Taking the Next Step in Foot Care

If you’re experiencing persistent heel pain or discomfort, consulting Dr. Miyazaki is an important step in protecting your foot health. Early evaluation and targeted treatment can prevent further complications and provide relief. Contact us today at 510-647-3744 to schedule a comprehensive foot evaluation and receive a personalized treatment plan tailored to your needs. Don’t suffer with pain, call our office and get on the fast track to recovery!

Home Strategies for Plantar Fasciitis Relief

Posted on 10.10.24 | Yuko Miyazaki, DPM |

Plantar fasciitis is a leading cause of heel pain, impacting approximately 10% of people at some stage in their lives. Characterized by inflammation of the plantar fascia—a thick band of tissue connecting the heel bone to the toes—this condition often results in stabbing pain near the heel, especially upon waking or after long periods of inactivity. It can disrupt daily activities such as walking, standing, or exercising, leaving many people struggling to find relief. Managing plantar fasciitis at home can be challenging, but with the right strategies, you can effectively address the pain and discomfort without relying solely on medication or invasive treatments.

Why Symptoms May Increase at Home

While home is often thought of as a place for relaxation, it can be surprisingly tough on your feet, especially if you’re suffering from plantar fasciitis. Many people tend to walk around barefoot or in unsupportive footwear like flip-flops or house slippers, which lack the arch support and cushioning that the feet require. This is particularly harmful for individuals with plantar fasciitis because it places extra strain on the plantar fascia, leading to increased inflammation and heel pain.

Hard floors in homes, such as tile or hardwood, can further exacerbate the issue. These surfaces provide no shock absorption, forcing your feet to bear the full brunt of your body weight with each step. Walking barefoot on such floors can result in small tears to the plantar fascia, worsening your symptoms over time. In contrast, wearing orthotics or shoes with arch support indoors can help alleviate this strain by redistributing pressure away from sensitive areas of the foot. Custom orthotics, in particular, offer personalized support that can correct improper foot alignment, providing long-term relief.

Home Strategies for Plantar Fasciitis Relief 2

Home Remedies and Lifestyle Changes for Plantar Fasciitis Relief

Wear Supportive Footwear Indoors

One of the simplest and most effective strategies for managing plantar fasciitis at home is to wear supportive shoes, even when indoors. Unlike walking barefoot, wearing shoes with arch support and cushioning ensures that your feet have proper support at all times. Look for footwear that includes a sturdy sole, arch support, and a deep heel cup to maintain correct foot alignment and distribute pressure evenly across the foot. Continuously wearing such shoes can significantly reduce the strain on your plantar fascia and help prevent painful flare-ups.

Use Custom Orthotics or Supportive Insoles

If you’re not already using orthotics, now might be the time to consider them. Custom orthotics or supportive insoles are designed to provide added support and correct any biomechanical imbalances that contribute to plantar fasciitis. Orthotics help maintain proper foot posture and absorb shock, reducing the tension placed on the plantar fascia. Whether you invest in custom-made orthotics or opt for over-the-counter insoles, both options can offer substantial relief by cushioning the heel and providing arch support.

Incorporate Regular Stretching Exercises

Stretching is an essential part of relieving plantar fasciitis symptoms, as it helps to improve the flexibility of your calf muscles and the plantar fascia itself. Tight calf muscles can pull on the Achilles tendon, which increases tension on the plantar fascia, leading to more pain. To counteract this, practice daily stretches targeting these areas. Exercises like calf stretches, rolling a frozen water bottle under your foot, or stretching the bottom of your feet by pulling your toes toward you can improve blood circulation, ease inflammation, and reduce pain.

Use Anti-Fatigue Mats for Added Cushioning

If your daily routine involves standing for long periods in the kitchen, home office, or anywhere with hard flooring, anti-fatigue mats can be a game-changer. These mats provide a soft, cushioned surface for your feet, reducing the impact of standing on hard floors. By offering additional shock absorption, they help alleviate the pressure on your heels and plantar fascia, preventing further injury. Place these mats in high-use areas of your home to reduce strain on your feet and make standing more comfortable.

Ice Therapy

Another effective home remedy for plantar fasciitis is applying ice to the affected area. Ice therapy helps reduce inflammation and numb pain. You can ice your foot by rolling it over a frozen water bottle or using an ice pack wrapped in a towel. Apply ice for 15 to 20 minutes, several times a day, particularly after long periods of standing or walking. This simple technique can provide quick relief and help control swelling.

Home Strategies for Plantar Fasciitis Relief 3

Take Action for Lasting Relief

Managing plantar fasciitis requires a proactive approach, especially when it comes to implementing home strategies that can alleviate pain and promote healing. By making simple changes—such as wearing supportive footwear, incorporating custom orthotics, stretching regularly, and using anti-fatigue mats—you can significantly reduce your plantar fasciitis symptoms and improve your foot health. Remember, the key is consistency; the more you take care of your feet at home, the better your chances of achieving long-term relief.

If you’ve tried these home remedies and still experience discomfort, it may be time to seek professional help. Dr. Miyazaki can provide personalized treatment options tailored to your specific condition. Don’t wait for the pain to worsen—schedule a consultation today or call 510-647-3744 and take the first step toward lasting relief from plantar fasciitis.

The Road to Recovery: Understanding Foot and Ankle Sprains & Fractures

Posted on 07.18.24 | Yuko Miyazaki, DPM |

Our feet and ankles are marvels of engineering, providing crucial support and mobility in our daily lives. When injury strikes in the form of a ankle sprains or fractures, understanding these conditions becomes pivotal for effective treatment and recovery.

Navigating the Road to Recovery with Expert Guidance

Imagine a world without the ability to walk, run, or jump. Our feet and ankles, with their intricate bones and flexible ligaments, play a pivotal role in our daily lives. When injury strikes, distinguishing between a soft tissue injury (sprain) and a bone break (fracture) becomes essential.

The Drama of Causes: Dynamic Causes

Injuries are often the culprits behind foot and ankle sprains and fractures. Whether it’s a high-impact sport like football or basketball, the repetitive stress of running, or a simple misstep on uneven ground, our feet and ankles bear the brunt of these incidents.

Sprains occur when ligaments—bands of tissue that connect bones at a joint—are stretched or torn, often due to sudden twisting motions or impacts. Fractures, meanwhile, involve breaks in the bone itself, ranging from hairline cracks to complete breaks.

Decoding Symptoms: Body’s S.O.S.

Recognizing the signs of a sprain or fracture is the first step toward effective treatment. Symptoms such as pain, swelling, bruising, and difficulty walking serve as the body’s S.O.S., signaling the need for immediate attention and care.

Imagine this scenario: You’ve just finished a game of basketball and feel a sudden pain and swelling in your ankle. The area is tender to the touch, and you struggle to put weight on it. These are typical signs of an ankle sprain, indicating that ligaments may have been overstretched or torn.

The Road to Recovery: Understanding Foot and Ankle Sprains & Fractures 4

Home Care Wisdom: RICE Method Unveiled

At-home care plays a vital role in initial recovery. The RICE method—Rest, Ice, Compression, Elevation—provides a structured approach to managing pain and swelling. It’s crucial to rest adequately and avoid aggravating the injury during this critical phase.

Rest: Limit weight-bearing activities to prevent further damage.
Ice: Apply ice packs wrapped in cloth to the injured area for 15-20 minutes every few hours to reduce swelling.
Compression: Use an elastic bandage to compress the injured area gently, helping to reduce swelling and provide support.
Elevation: Keep the injured foot or ankle elevated above heart level whenever possible to minimize swelling.

Seeking professional assistance from Dr. Miyazaki is crucial for accurate diagnosis and effective treatment. Increased pain, swelling, bruising, redness, or difficulty walking are clear indicators that warrant a visit to a specialist. Our team offers personalized care plans tailored to each patient’s unique needs.

Upon examination, our seasoned team will assess the extent of the injury through physical examination and diagnostic tests such as X-rays, ultrasound, or MRI scans. These tests provide crucial insights into the severity of the injury, guiding the treatment plan accordingly.

Treatment Insights

Treatment plans vary based on the severity of the injury. Fractures may require procedures like reduction (realigning the bone fragments) or surgery, where modern techniques such as metal plates and screws are used for stable bone repair. Sprains, on the other hand, often benefit from immobilization with a brace or boot, followed by physical therapy to regain strength and flexibility.

Medication and Healing

Medications may be prescribed to manage pain, swelling, and inflammation, facilitating a smoother recovery process. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are commonly recommended to alleviate discomfort. Advanced treatments such as ultrasound therapy or injections may also be used to aid healing and reduce inflammation.

Empowering Prevention: Wise Precautions

Preventing future injuries involves adopting wise precautions. Athletes benefit from sport-specific footwear and warm-up routines tailored to their activities. Choosing proper footwear with adequate support and maintaining strong ankle stability through exercises can significantly reduce the risk of sprains and fractures.

Your journey toward recovery begins with understanding and proactive care. Whether you’re recovering from a recent injury or seeking preventive measures, consulting with our compassionate podiatrist ensures you receive expert guidance every step of the way. Take charge of your foot and ankle health today—schedule a consultation to unlock a pain-free tomorrow.

Foot and ankle sprains and fractures can be debilitating, but with proper understanding, timely treatment, and preventive measures, recovery is within reach. The road to recovery involves recognizing symptoms early, implementing effective home care strategies like the RICE method, and seeking expert guidance from Dr Miyazaki when needed. Remember, your feet and ankles are your foundation—take care of them, and they will support you for years to come.

Caring for Your Child’s Feet: Nurturing Every Step of their Journey

Posted on 06.06.24 | Yuko Miyazaki, DPM |

As parents, we’re accustomed to juggling an array of concerns when it comes to our children’s well-being. From ensuring they receive proper nutrition to nurturing their emotional growth, every aspect of their development holds significance.

However, one area that often slips under the radar is the health of their feet. In the whirlwind of parenthood, it’s easy to overlook the significance of foot health in our children’s overall growth and happiness.

Childhood is a time of boundless energy and relentless exploration. From running across playgrounds to tiptoeing through imaginative worlds, their feet bear the weight of endless adventures. It’s crucial to recognize that the health of their feet directly impacts their ability to fully engage in these activities. After all, healthy feet are the foundation upon which they build their dreams and aspirations.

Caring for Your Child’s Feet: Nurturing Every Step of their Journey 5

Parent’s Insight

As parents, we understand the myriad of concerns that accompany our child’s growth. We empathize with the worries and uncertainties that come with each developmental milestone. Amidst these concerns, let’s not forget the active nature of childhood and the vital role foot health plays in nurturing their journey.

Observing Healthy Development: Understanding Gait Patterns

One aspect of foot health that requires our attention is understanding our child’s gait patterns. Gait problems are not uncommon in children, and while many resolve with age, vigilant observation is key. From pigeon toes to toe walking, each pattern provides valuable insight into their growing bodies.

Navigating Flatfoot in Toddlers: Demystification of Pediatric Flatfoot

Pediatric flatfoot is a common concern among parents, often sparking worry and confusion. However, understanding the natural development of arches and the role of the fat pad can alleviate these concerns. While some children may require intervention, many simply need time for their arches to develop naturally.

Early Detection of Juvenile Bunions

Juvenile bunions may sound alarming, but early intervention can prevent progression and discomfort. By empowering parents to seek timely intervention, we can ensure our children’s comfort and mobility for years to come.

Solutions and Recommendations

Custom Orthotics for Comfort

Custom orthotics offer personalized care and pain relief for active children with flatfoot. By addressing the unique needs of each child, we can support their foot health and overall well-being.

Nurturing Healthy Feet

Promoting healthy foot habits starts at home. From choosing appropriate footwear for different activities to encouraging regular stretching and strengthening exercises, there are simple yet effective ways to nurture our children’s foot health.

Bunion Intervention Strategies

Non-invasive measures such as custom orthotics and night splints can alleviate discomfort caused by juvenile bunions. While surgical intervention may be necessary in severe cases, early intervention can often prevent the need for invasive procedures.

Plantar Warts Prevention and Treatment

Guarding against plantar warts is essential for maintaining our children’s foot health. By educating parents on the causes of plantar warts and providing practical prevention tips, we can minimize the risk of discomfort and inconvenience.

Safe Wart Removal

When it comes to wart removal, caution is paramount. Over-the-counter treatments may not be suitable for children’s sensitive skin and can cause more harm than good. Professional care ensures gentle and effective removal, minimizing discomfort and scarring.

Specialized Children’s Foot Care: Your Partner in Care

As your partner in caring for your child’s feet, we understand the importance of specialized care. Our podiatrist is dedicated to addressing children’s foot concerns with expertise and compassion. If you notice any signs of discomfort or abnormalities in your child’s feet, don’t hesitate to reach out. Together, we can nurture every step of their journey with confidence and care.

For personalized foot care solutions tailored to your child’s needs, schedule a consultation with our experienced podiatrist today. Let’s ensure your child’s journey is filled with comfort, confidence, and endless possibilities.

Caring for our children’s feet is an essential aspect of their overall well-being. By understanding common foot concerns, promoting healthy habits, and seeking timely intervention when needed, we can nurture their journey with confidence and care. Let’s ensure every step they take is supported, comfortable, and filled with boundless possibilities.

5 Common Foot Conditions in Children: A Parent’s Guide

Posted on 05.23.24 | Yuko Miyazaki, DPM |

Foot health plays a crucial role in your child’s overall well-being, influencing their ability to walk, run, and engage in daily activities comfortably. Healthy feet support physical activities, contribute to proper posture, and ensure balanced development. Understanding and addressing common foot conditions early can prevent long-term complications and ensure your child’s development is on track. In this blog, we’ll explore the top 5 common foot conditions in children, providing insights and prevention tips for parents.

Woman with smiling faces drawn on toes, closeup of foot

Pediatric Gait Abnormalities

Understanding Pediatric Gait Abnormalities

Gait abnormalities, such as in-toeing, out-toeing, and toe-walking, are common in children. While they often resolve on their own, some cases may impact a child’s development if left unaddressed.

In-toeing: This occurs when the feet turn inward while walking. It can result from tibial torsion (twisted shin bone) or femoral anteversion (inward twisted thigh bone). Children with in-toeing might trip more frequently, but it usually resolves as they grow.
Out-toeing: The feet point outward, which can stem from external hip rotation or foot structure issues. Out-toeing might lead to uneven wear on shoes and potential discomfort during activities.
Toe-walking: Walking on the toes is a common habit in toddlers learning to walk. Persistent toe-walking beyond age 2-3 can indicate underlying conditions like cerebral palsy, muscular dystrophy, or autism spectrum disorders.

Causes and Solutions

These abnormalities can be due to muscle imbalances, bone structure variations, or neurological factors. Parents can encourage proper walking patterns through activities that promote muscle strength and coordination, such as balance exercises, swimming, and age-appropriate sports. Ensuring your child wears well-fitted, supportive footwear is also crucial. Early intervention is vital; seek professional evaluation from a pediatrician or pediatric podiatrist if gait issues persist to prevent potential complications. Therapies may include physical therapy, orthotics, or, in rare cases, surgical intervention.

Pediatric Flatfoot

What is Pediatric Flatfoot?

Pediatric flatfoot is characterized by the lack of an arch in the foot, causing the entire sole to touch the ground when standing. It is a common condition that can be classified as flexible (where the arch appears when the child stands on tiptoe) or rigid (where the arch is absent regardless of position).

Normal vs. Concerning Flatfoot

It’s normal for infants and toddlers to have flat feet as the arch develops over time, typically by age 6. However, if flatfoot persists beyond this age or causes pain and difficulty in walking, it may require medical attention.

Juvenile Bunions in Children

Juvenile bunions, also known as bunionettes, are bony bumps that form on the joint at the base of the big toe, causing the toe to bend towards the others. They are less common in children but can develop due to genetics, improper footwear, or other structural foot issues.

Symptoms and Prevention

Symptoms of juvenile bunions include a noticeable bump on the side of the foot, toe misalignment, redness, and pain, especially when wearing tight shoes. To prevent bunions, ensure your child wears shoes that are wide, have a soft toe box, and provide proper support. Avoid tight or narrow footwear that can exacerbate the condition.

Treatment Options

Conservative treatments like padding, splints, and stretches can alleviate symptoms and slow the progression of bunions. In severe cases where pain persists despite these measures, surgical correction might be considered. However, surgery is generally a last resort and is typically delayed until the child’s bones have fully matured.

Plantar Warts in Children

What Causes Plantar Warts?

Prevention and Treatment

Prevent plantar warts by encouraging your child to wear flip-flops or water shoes in public showers and around pools. Home remedies and over-the-counter treatments, such as salicylic acid, can be effective in removing warts. Persistent or painful warts may require professional removal by a pediatric podiatrist. Good hygiene practices, including regular foot inspections and keeping feet clean and dry, can help manage and prevent the spread of warts.

Sever’s Disease (Heel Pain)

Understanding Sever’s Disease

Sever’s disease, or calcaneal apophysitis, is a common cause of heel pain in active children, typically between ages 8 and 14. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress and microtrauma, often during growth spurts.

Risk Factors and Symptoms

Risk factors include participation in high-impact sports like soccer, basketball, or gymnastics, where repetitive heel strikes are common. Symptoms include heel pain, swelling, and tenderness at the back of the heel, especially after physical activity.

Managing Heel Pain

To manage heel pain, ensure your child rests and avoids activities that exacerbate the condition. Ice therapy can reduce inflammation, and stretching exercises for the calf muscles and Achilles tendon can alleviate tension on the heel. Supportive footwear with cushioned insoles or orthotics can provide additional relief. Encourage proper training techniques and avoid overtraining to prevent recurrence.

Big brother and little sister holding bare feet close up to camera . Blurred face on background

Contact Us Today

Prioritizing your child’s foot health is essential for their overall development and active lifestyle. Regular foot checks and early intervention can address any concerns promptly, ensuring your child stays pain-free and mobile. If you notice any unusual symptoms or persistent foot issues, consult a pediatric podiatrist for a thorough evaluation and tailored treatment plan. Our team of experienced pediatric podiatrists is here to help, offering expert care, personalized treatment plans, and a friendly environment designed to make visits comfortable for children. From gait analysis and custom orthotics to treating flatfoot, bunions, plantar warts, and heel pain, we provide comprehensive services to keep your child active and healthy. Contact us to schedule an appointment. Ensuring your child’s feet are healthy today will support their happy, active future. Prioritize your child’s foot health today for a confident, healthy future.

Discover Lasting Relief: Unraveling the Mystery of Heel Pain

Posted on 04.10.24 | Yuko Miyazaki, DPM |

We’ve all been there: that sharp, nagging pain in your heel that feels like a dagger every time you take a step. It’s not just a physical discomfort; it’s a motivation killer that can put a damper on your daily activities, from simple tasks like walking to your car to more active pursuits like jogging or hiking.

But here’s the good news: effective treatment is available for a wide range of heel pain causes. So, before you resign yourself to a life of limping, let’s dive into the world of heel pain and uncover the secrets to lasting relief.

Understanding the Complexities of Heel Pain: Diverse Roots of Discomfort

Heel pain isn’t a one-size-fits-all condition. It’s a complex issue with diverse causes that can vary from person to person. Common culprits include overuse, unfavorable footwear choices, and structural abnormalities like flat feet or high arches.

Insight into Overuse: Overuse can strain and damage the soft tissues in your heel, leading to inflammation and pain. Whether it’s from running, standing for long periods, or wearing unsupportive shoes, overuse can take a toll on your feet.
The Role of Footwear and Standing Surfaces: Wearing shoes that don’t provide adequate support or standing on hard surfaces for extended periods can exacerbate heel pain. These factors can put undue stress on your feet, leading to discomfort and potential injury.
Structural Abnormalities: Conditions like flat feet or high arches can alter the mechanics of your foot, leading to imbalances and increased pressure on the heel. These structural issues can contribute to chronic heel pain if left untreated.

Female hands giving massage to her foots in bedroom,feet soles massage

Linked Conditions

Heel pain can also be a symptom of underlying conditions like Plantar Fasciitis, Achilles Tendinitis, and more. It’s crucial to address these underlying causes for effective and long-term relief.

Plantar Fasciitis: This condition involves inflammation of the plantar fascia, a band of tissue that connects the heel to the toes. It’s a common cause of heel pain, especially among runners and individuals who spend a lot of time on their feet.

Achilles Tendinitis: This condition affects the Achilles tendon, the large tendon that connects the calf muscles to the heel bone. It can cause pain and stiffness in the back of the heel, particularly during physical activity.

Tailored Treatment for Lasting Comfort: Holistic Evaluation

To effectively treat heel pain, a thorough physical exam and patient input are essential. While surgery is rarely necessary, it may be considered if other treatments prove ineffective.

Comprehensive Treatment Approaches: Footwear Wisdom

Proper footwear plays a crucial role in preventing and alleviating heel pain. When selecting shoes, consider the specific activities you’ll be engaging in and ensure they provide proper fit and arch support.

Orthotic Support

For those whose footwear falls short, custom orthotic inserts can be a game-changer. Orthotics can redistribute weight and provide optimal support during movement, reducing strain on the heels and promoting healing.

Lifestyle Adjustments

Maintaining an active lifestyle is important, but it’s essential to do so with caution. Balance your activity levels to avoid exacerbating the condition and listen to your body’s signals.

Rest and Recovery

Sometimes, the best treatment is rest. Recognize the need for temporary activity reduction to facilitate healing and incorporate rest into your overall treatment plan.

Taking the First Step Towards Relief: Timely Action

Don’t ignore persistent heel pain. Early intervention is key to efficient problem resolution, so don’t hesitate to seek professional help if you’re experiencing ongoing discomfort.

Heel pain may be a common issue, but it doesn’t have to be a lifelong struggle. By understanding the diverse causes of heel pain and adopting a comprehensive treatment approach that includes proper footwear, orthotic support, lifestyle adjustments, and timely action, you can discover lasting relief and get back to doing the activities you love.

Ready to say goodbye to heel pain for good? Don’t wait another day to take action. Schedule a consultation with Dr. Miyazaki to discuss personalized treatment options and start your journey toward lasting comfort and relief. Your feet will thank you!