John Hollander, DPM

Callus Care At Home

Are you noticing thick skin buildup on your feet? Is it making it painful to walk or be active? Then you may be suffering from callus buildup.

Calluses are caused by friction and pressure. If you wear open sandals in the summer then you may notice more calluses than in the winter when you are wearing closed-toe shoes with socks. If the calluses go untreated they can become very painful and spilt causing an open wound.

Here are some easy at-home treatment options for callus care:

  1. Wear a cushioned, supportive and proper-fitting shoe with socks
  2. Place a cushioned Spenco insole in your shoe to reduce friction
  3. Use a callus grater to debride the skin. This is best used after showering when your skin is soft
  4. Use urea cream, such as Kera-42, to help soften and moisture the callused skin
  5. Limit barefoot walking and sandal use

Remember it is always best to be properly diagnosed by a doctor and to follow their suggestions for treatment.

Call Dr. Hollander today for an evaluation, 707-578-1222.

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Attack Plantar Fasciitis & Achilles Tendinitis with Extracorporeal Shockwave Thearpy

Are you preparing for the upcoming Clo Cow Half Marathon in Petaluma, California or the Hallowine Run in Healdsburg? Wouldn’t it be devastating to have a chronic condition like plantar fasciitis or have an Achilles tendinitis flare up right before the big event?! If the unthinkable happens, extracorporeal shockwave therapy might be necessary to promote healing to your feet so that you can still run on the day of the race.

Extracorporeal shockwave therapy, or ECSWT for short, is a therapy in which shockwaves are sent directly to the site of pain. It’s used when other more conservative treatments have failed, but before opting for surgical methods. There are different levels of shock waves; some require a local anesthetic and others that don’t. This therapy offers many of the same results as surgery, but with less downtime and a much faster rate of recovery.

Podiatrists and patients alike prefer ECSWT to surgery, because of reduced healing times. You will probably notice, even after the first day of treatment, that the pain does not worsen. As the damaged cells begin to repair and new cells grow, you will notice that your pain is subsiding even more. After a session of this therapy, you will most likely notice soreness or possibly some bruising at the site of treatment. However, these effects are mild compared to those of a surgical intervention.

If you want to learn more about ECSWT, call Dr. John Hollander, DPM today at 707-578-1222. We want your feet to be as healthy as they can be. Faster, more effective healing means you’ll be ready for your next big race.

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When Pets Are Appalled By Your Smelly Feet

You know there is something wrong with your feet when your pet can’t even stand the smell of them! Stop by our office today to purchase our Tolcylen Antimicrobial Shoe Spray. The Tolcylen spray will help you get rid of the bad odor your feet produce after sweating all day. There is also a new product we have in our office called the ShoeZap, which helps clean and sanitize your shoes to get rid of that odor-causing bacteria. The ShoeZap will keep you from re-infecting your shoes over and over again by using a special light to kill the bacteria in the shoe.

For more information regarding our Tolcylen antifungal products and the ShoeZap, please give us a call at (707) 578-1222 or stop by our office today!! Your pets will appreciate it!!  😉

 

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Foot Health While Pregnant

Many women experience general fatigue and soreness throughout their entire body while pregnant but a large complaint is sore feet and swelling.

Due to the natural weight gain during pregnancy, a woman’s center of gravity is completely altered. This causes a new weight-bearing stance and added pressure on the knees and feet.

Pregnant women are susceptible to aching and swollen feet. It is very important to watch for and take care of these symptoms.

Here are a few tips for proper foot care during pregnancy:

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot. Wear a supportive sandal, house shoe, or slipper as an alternative
  • Wear shoes with good arch support – no flimsy shoes that are easily rolled up like a burrito
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Get foot massages
  • Get regular, light exercise, such as walking which will promote blood circulation to the feet

Over-Pronation, also referred to as flat feet, is caused when a person’s arch flattens out upon weight bearing and their feet roll inward when walking. This can create extreme stress or inflammation on the plantar fascia, the fibrous band of tissue that runs from the heel to the forefoot. Over-pronation can make walking very painful and can increase strain on the feet, calves and/or the back.

If you are pregnant and having foot pain, or know someone that is, call Dr. Hollander today at 707-578-1222.  He can give you a proper treatment algorithm that will help heal your symptoms and give you relief.

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Our Shoes Carry Bacteria and Fungus

Our office is proud to carry an exciting item to help combat fungal infections. The ShoeZap is a great way to clean and sanitize your shoes. Neglecting your shoes may mean you are re-infecting your feet again and again.


 

  • ShoeZap 15 Minute UV Shoe Sanitizer is the fast, easy way to kill fungus and bacteria using UVC germicidal light.
  • One-size sanitizer fits in any shoe, and can also be used on small items that fit into the Protection Bag- great for the whole family!
  • Kills up to 99.9% of the germs that cause shoe odor, athlete’s foot, toenail fungus, and warts inside shoes.

Contact our office at 707-578-1222  if you are interested in learning more about this great device. You can also stop by our office and purchase the ShoeZap and start to sanitize your shoes today!

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Is Summer To Blame For My Calluses?

When the weather heats up, so do our feet!  We get relief from that heat by wearing shoes that allow our feet to breathe better, like sandals or mesh tennis shoes, or we don’t wear any shoes at all. But with this change in footwear, many of us start to see a change in our feet in the form of callus build-up.

Calluses are thickened skin often observed on the heel or ball of your feet.  They are caused by pressure and friction, the rubbing of the skin against another surface.  Excessive callus build-up can cause foot pain as well.

But what does summer have to do with calluses?  Well, often people will wear sandals in the summer, and many sandal varieties slip back and forth on the foot as we walk.  Walking barefoot at home or at the beach also causes friction on the foot.

Stay on top of your potential callus build-up by, wearing sandals with straps, wearing socks, moisturizing daily with a cream specific for feet, utilizing a pumice stone or callus shaver, seek out medical pedicure services if you need assistance.

If your calluses feel out of control, or you can’t maintain them the way that you would like to, reach out to Dr. Hollander today.  We can provide you with services to get your feet back to feeling good and looking smooth.  We also carry special foot-specific creams that work great for callus prevention.

We are here for you! (707) 578-1222.

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How to stay in the race with heel pain

Are you preparing for the upcoming Annadel Half Marathon in Santa Rosa, California next month or the Windsor Half Marathon in June? Wouldn’t it be devastating to have a chronic condition like plantar fasciitis or have an Achilles tendinitis flare up right before the big event?! If the unthinkable happens, extracorporeal shockwave therapy might be necessary to promote healing to your feet so that you can still run the day of the race.

Extracorporeal shockwave therapy, or ECSWT for short, is a therapy in which shockwaves are sent directly to the site of pain. It’s used when other more conservative treatments have failed, but before opting for surgical methods. There are different levels of shock waves; some that require a local anesthetic and others that don’t. This therapy offers many of the same results as surgery, but with less downtime and a much faster rate of recovery.

Podiatrists and patients alike prefer ECSWT to surgery, because of reduced healing times. You will probably notice, even after the first day of treatment, that the pain does not worsen. As the damaged cells begin to repair and new cells grow, you will notice that your pain is subsiding even more. After a session of this therapy, you will most likely notice soreness or possibly some bruising at the site of treatment. However, these effects are mild compared to those of a surgical intervention.

If you want to learn more about ECSWT, call Dr. John Hollander, DPM today at 707-578-1222 or schedule an appointment online. We want your feet to be as healthy as they can be. Faster, more effective healing means you’ll be ready for your next big race.

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9 Awesome Gifts for Anyone

Everyone has at least one ‘difficult to buy for’ person in their lives, or someone that has “everything”, so why not consider buying a gift that caters to their feet this year? After all, they play a significant role in our everyday lives!

You will be surprised at the number of options that you have to give them the gift of happy feet this Christmas.  Below is a list of gifts that anyone would be happy to find under their tree, many of which can be purchased in our office or at other local vendors!

Luxury Insulated Water Bottles

Everyone is loving the double insulated water bottles these days, but they are so boring looking.  Check out these luxurious and beautiful bottles by Bougie.  They come with straws too, so you don’t have to unscrew the top every time you need a drink. A must-have for me!  Purchase yours today at Bougie or check for a local retailer near you.

 

 

Nail Polish with Benefits!

Dr.’s Remedy Polish is Free of all the “bad stuff” and filled with all the “good stuff”. Containing lavender, wheat protein, garlic extract, tea tree oil and bioten, all things that help repair and hydrate, dry brittle nails, and keep existing nails healthy! It is also a 10-FREE product, so for your recipients that want organic, cruelty-free and vegan options, this is a fantastic option! You can purchase Dr.’s Remedy Polish in our office!

 

Pedicure at Home!

Barefoot Scientist offers a hydration pedicure kit that contains all the good things needed to hydrate even the dryest of feet (ergonomic foot file, intensive hydration cream, and special hydration socks). Hey, maybe you could provide the pedicure to your recipient too!?  Available at Ulta.  If you want to make your own pedicure kit, check out our last post on recipes to make foot soaks, scrubs, and heel balm!

Foot Cooling Lotion

This cooling lotion helps to invigorate and revitalize tired feet! Available at The Body Shop.

 

 

 

 

Wow them with Bombas Socks!

Bombas socks are amazing. They are super comfortable, come in amazing colors, and for every pair that is purchased, an additional pair is donated to someone in need.  You’re going to want to buy yourself some of the socks as well, they are just that awesome.  Note: for larger calves, consider trying the Merino Wool line, for it has a bit more stretch in the calf area. Bombas.com

 

CBD Therapy Pain Relief

Is your gift recipient in need of pain relief? Consider Medterra CBD Rapid cooling cream that provides relief for sore muscles and joints.  A powerful combination of CBD and certified organic ingredients, Medterra CBD Rapid Cream provides a rapid cooling feeling, perfect for sore muscles and joints. THC Free and made in the USA.  This product is available for purchase in our office!

 

Fashion Forward Slippers with Arch Support!

As podiatrists, we want everyone to have good arch support.  So here are two price points with Podiatrist approved sandals that your recipient is sure to love.

Birkenstock Zermatt Slippers — $100.00 Podiatrists love Birkenstocks’ footbeds for their comfort and arch support. This pair has a deep heel cup that keeps your natural cushioning under the heel bone, longitudinal arch support along the sides of the footbed for stability, and a raised toe bar that encourages the natural gripping motion of your feet.

L.L. Bean Women’s & Men’s Mountain Slippers — $69.00.  These slippers have a cozy fleece lining to keep your toes nice and toasty, a rubber bottom that provides traction, and—of course—good arch support. The insole can be removed should you want to wear your custom orthotics in them. Men’s pair, Women’s pair.

 

 

Small Ball, Big Impact!

If you’ve never used a foot massage ball, then you need to get one as a gift for yourself as well!  This little ball works wonders on tired and achy feet! The little bumps can also provide pinpoint pressure on your heels with minimal effort! This is a BIG deal for those with thick calluses!  Check them out at FleetFeet.

 

Medical Pedicures!

Did you know that we offer medical pedicures in our office?  Medical pedicures are wonderful for everyone, but especially for our diabetic and high-risk patients.  Having a pedicure performed in our office means you have a doctor nearby and trained medical assistants that specialize in foot care, treating your feet.  Take a look at our spa menu and how you can pick up a gift certificate.

 

We hope this list inspires you and that your gift recipients (or you) enjoy the thoughtful items.

**These are NOT paid endorsements/advertisements of these products, just simply a few fun ideas to help you get your holiday shopping completed!

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Make Your Own Luxury Foot Soaks, Scrubs & Balms

Have you ever considered making your own foot care products?  They are very easy to make using ingredients that are found in most stores. They also make wonderful and inexpensive gifts! By using beautiful jars and bows you can create a unique gift that comes straight from the heart.  What’s even better when making your own recipes is that you know exactly what ingredients are used and you can take pride in knowing your completed product is cruelty-free and organic (should you choose to use organic).

Dry skin can occur for several reasons and often becomes most prevalent during the summer and winter months where the air is most dry.  Removing dead skin cells helps to relieve the appearance of dry skin, encourage new cell production, as well as, prime the skin for moisturizers which help lock in moisture.  This is why we think that making your own foot soaks, scrubs, and heel balms are a great idea.  Feel free to experiment with different scent combinations in these recipes.

Once you have made your foot soak, scrub, or heel balm, you will need to present it in packaging that will wow the recipient.  There are many types of containers you can use, though glass or tin are best.  Consider repurposing an empty candle jar, mason jar, or unique tin to hold your product.  Decorate the container with the use of twine, ribbon, or flowers.  You may even want to paint an image on the jar or use vinyl cutouts to make it even more special.  Be sure to add a beautiful spoon or stick to allow them to stir up the mixtures before use. Here are a few visuals to help inspire you:

Photo Credits: HGTV.com, Fairlamblavenderfarm.com, ouibyyoplait, Neiman Marcus website

ADDITIONAL TIPS: Immediately after exfoliating your skin, be sure to apply your favorite moisturizer.  Coconut oil with lavender and orange essence is a lovely combination but do note that it can leave the skin feeling a tad bit greasy.

Remember to avoid using salt scrubs on your face and on sensitive skin areas, such as freshly shaved legs as it will be too abrasive on the skin*.

If you are not seeing the relief in your dry skin after a week or two of self-care, you may need to see a doctor.  Chronic dry skin can be a sign of something more serious.

Happy exfoliating!

*If you are a diabetic, please consult with your doctor prior to using at-home remedies for your dry skin.

If you are not finding relief for your dry skin, please call Dr. Hollander at (707) 578-1222 to schedule an appointment today. And if you’re not big on making your own foot care products, consider purchasing a gift certificate for one of our amazing medical pedicures!

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9 Most Common Foot Problems in Patients Over 40

Foot problems are not age specific, they can happen to anyone, but there are conditions that seem to show up more often for those that are over 40. Today we will discuss the 9 most common foot problems that patients over 40 tend to experience, what causes them, treatment options, and prevention methods. Life in your 40s is wonderful, but if we can learn about potential conditions that come with this age range, we can be more proactive in prevention and treatment.

9 Most Common Foot Problems in Patients Over 40      

Gout- Gout is a condition that occurs from the buildup of uric acid mainly around the big toe joint.  People with gout will experience a red hot toe and sensations that feels like pins and needles.  Certain foods and beverages increase the potential of having a gout flare up. If you can minimize these foods, you can help prevent a flare up. Treatment of gout includes an anti-inflammatory and diet change.  Gout is most common in men between the ages of 40-50 and post menopausal women.

Calluses- Callus build-up can be caused by friction from shoes or how one walks, but it can also be caused by a reduction in estrogen levels which impacts the body’s ability to maintain moisture. Calluses can be treated with urea foot moisturizers, pumice stones, and manual debridement.

Metatarsalgia– Metatarsalgia is pain in the ball of your foot that is sharp, achy or a burning sensation.  This condition can be caused by several different factors including, excess weight putting pressure on your metatarsals, stress fractures, Morton’s neuroma, and even by loss of fat on the bottom of our feet.  Treatment can range from rest with icing the foot, wearing shock-absorbing insoles, or using non-invasive treatments like ECSW Therapy or MLS Laser Therapy .

Heel Pain– When you experience heel pain it could be from heel spurs or plantar fasciitis. Heel spurs are bony protrusions that form at the front of your heel. These bony growths are caused by calcium deposits. They are often treated with cold compresses, medication, and sometimes surgery. Plantar Fasciitis is another common condition in those over 40. It starts with a sharp or stabbing pain with your first steps out of bed in the morning, which may be when your pain is the worst. After walking around for awhile, the pain may decrease. The pain may also be present with long periods of standing or after getting up from a seated position. Treatment includes stretches, splints, medication, orthotics or ECSW Therapy.

Ingrown Toenails- When the toenail grows inward toward the skin it creates what we call, an ingrown toenail.  Ingrown toenails can be genetic, caused by trauma or by improper nail trimming. Often when the nail grows into the skin, the toe can become red, tender and even infected. Treatment varies on the severity of the ingrown nail. You can help prevent them by wearing properly fitting shoes and cutting your nails straight across.

Bunions- When you see someone with a large toe that is bending inward and over (or under) their second toe, they have what is called a bunion. Bunions occur when a bony bump forms on the joint at the base of the big toe, and then pushes it against the next toe. The main causes of bunions are wearing tight shoes, foot stress, and arthritis. The main symptoms are bone deformity, pain, and stiffness. Treatments include changing shoes, padding the foot, and pain medications. Painful bunions can be removed surgically.

Hammer toes- A hammer toe is a toe that is deformed, with the end of the toe bending downwards. It usually affects the second, third or fourth toe, and appears to look like a claw. A corn may form on the top of the toe, and a callus may form underneath it. It may be caused by a muscle imbalance or by poorly fitting shoes, when toes are unable to be fully extended. A flexible hammer toe can be manually straightened out while a rigid hammer toe cannot be pulled straight. Treating a hammer toe before it becomes “fixed” in position is essential. Orthotics, splints, or wearing shoes with roomy toe-boxes may help non-severe cases of hammer toe. In severe cases, surgery may be performed.

Claws toes- Having a claw toe refers to the “clawing” down motion of the toe. This position of the toe often causes painful calluses. A claw toe can be caused by poorly fitting shoes, trauma, or nerve damage from conditions such as diabetes or alcoholism. Treatment includes changing your shoes and stretching and exercising your toes. Without treatment, the condition can become permanent.

Osteoarthritis-  Osteoarthritis is when the cartilage of a joint begins to break down and eventually is lost. The lack of cartilage leads to pain and the grinding of joints. This is a disease that affects millions of Americans. It is considered a wear-and-tear disease due to repetitive use. It can also occur from trauma and abnormal foot mechanics, but in most cases it is the first cause. Thankfully there are several methods for managing this disease.

As you can see, many of these conditions can be prevented through the action of wearing properly fitting shoes and being proactive about your podiatry care. If you notice something different about your feet, how they feel or how they look, don’t put it off. Schedule an appointment with your podiatrist and talk to them about your concerns before it become unmanageable. If you don’t have a podiatrist, your primary care physician can refer you one. Dr. John D. Hollander is accepting referrals and would be happy to discuss your concerns. Give us a call today at our Santa Rosa office (707) 578-1222.

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