Podiatrist Blog

Foot and Ankle InjuryDr. Jeffrey Agricola, your foot doctor at Prestige Podiatry in Carmel and Indianapolis, IN, is a sports enthusiast. So, in addition to his extensive training in podiatric sports injuries, he well understands the pain, worry and immobility sudden or repetitive injuries can cause. Learn more here about common sports injuries, how they're treated and what you can do to avoid them.

What's the most common injury?

It's the ankle sprain, says the American College of Foot and Ankle Surgeons. A stretching and tearing of the three supporting ligaments of the ankle (especially the one on the outside of the ankle), ankle sprains cause considerable pain, swelling, redness, and limited mobility and range of motion. Usually, the lateral twisting motions associated with running on an uneven surface or slipping on wet pavement cause sprains.

Upon visual inspection and X-ray examination of your extremity, your foot doctor will grade the severity of your sprained ankle and base his conservative treatment plan on that grade. Only the worst cases of sprained ankle require surgical stabilization, but many sprains need:

  • Rest
  • Ice
  • Compression with an elastic bandage to reduce swelling and provide support
  • Elevation above heart level
  • Over-the-counter analgesics to control pain
  • Physical therapy and strengthening exercises
  • Soft casting and crutches (as needed) to limit weight bearing

As with many other injuries related to sports, both amateur and professional athletes can prevent ankle sprains with common sense strategies such as:

  • Adequate warning up and stretching before your activity
  • Staying in good physical condition
  • Keeping within normal weight limits
  • Wearing quality footwear with adequate support
  • Allowing sprains and other injuries adequate time to heal

Other injuries

Many sports injuries do not happen suddenly with traumatic force but with the repeated stresses of running and jumping, placing undue pressure on various foot and ankle structures. For example, tennis, dancing and running, which basically pound the foot over and over again, cause injuries such as:

  • Stress fractures, fine cracks in the bones of the foot or ankle
  • Sesamoiditis, inflammation of the sesamoid bones underneath the big toe
  • Plantar fasciitis, an inflammation of the broad connective tissue between the heel and big toes
  • Heel spurs, small bony protrusions at the front of the calcaneus, or heel bone
  • Achilles tendonitis which affects the tendon between the heel and the calf

Your Indianapolis foot doctor sees these injuries at Prestige Podiatry. He carefully evaluates symptoms, does a hands-on exam and takes X-rays images or other tests as needed. From there, he writes a care plan aimed at recovery of mobility, reduction of pain and prevention of further injury.

Are you athletic?

Actually, anyone who is very active is prone to sports injuries. So, if you're experiencing foot or ankle pain, swelling or dysfunction, call Prestige Podiatry today for a consultation with Dr. Jeffrey Agricola. For the Indianapolis office, call (317) 881-0070. For Carmel, phone (317) 846-4111.

By Carmel Foot & Ankle
August 21, 2018
Category: Foot Health
Tags: Ankle Pain  

Do you think you sprained your ankle?

sprained ankle treatmentA sprained ankle is a very common injury. Whether you twisted your ankle while shooting hoops or from stepping off the sidewalk, it’s important that you recognize the symptoms of a sprain so that you can turn to our Carmel and Indianapolis, IN, foot doctor Dr. Jeffrey Agricola as soon as possible. It’s important not to just ignore a sprained ankle, as this can lead to further sprains in the future and chronic instability.

What are the symptoms of a sprained ankle?

A sprained ankle is when one or more ligaments in the ankle have been overstretched or torn. When this happens you will immediately experience pain. Along with pain, you may also notice:

  • Swelling
  • Bruising
  • Tenderness
  • Stiffness
  • Reduced range-of-motion
  • The inability to bear weight on the ankle
  • Weakness

In some cases, you may also have heard a popping or snapping sound at the moment of the injury. If you are experiencing any of these symptoms then you should turn to our Carmel and Indianapolis, IN, foot doctor who can diagnose your condition and create a treatment plan for you.

How is a sprained ankle treated?

If your sprained ankle is minor than rest and at-home care is all that will be needed. The most common treatment method is better known as RICE:

Rest: The best thing you can do is stay off the ankle until it heals. Depending on the severity of the sprain this can take several weeks. In some cases, our doctor may place your foot in a boot to make it safer and easier to move around without putting much weight on the injury.

Ice: To keep swelling and pain to a minimum it’s important to ice your ankle for at least the first three days after your injury. Remember to always wrap an ice pack in a towel before applying to your bare skin (putting ice directly on bare skin can result in severe burns). Leave the ice on your ankle for no more than 20 minutes. Ice 2-3 times a day.

Compression: Another method for reducing swelling is to wearing compression stockings, which can promote blood flow to the area and also speed up the healing process. Talk to your foot doctor about the best compression stockings to use.

Elevation: Another way to reduce swelling and bruising is to prop your injured foot up above your weight. Do this whenever you are sitting down or resting.

In some cases, physical therapy and rehabilitation will also be advised to restore and restrengthen the muscles, tissues and ligaments in the ankle. In severe cases, surgery may be necessary.

If you suspect that you or a loved one might have sprained their ankle it’s important that you have a foot doctor that you trust. Here at Prestige Podiatry, we offer two convenient locations in Carmel and Indianapolis, IN. Call us today for quick and comprehensive foot and ankle care!

By Carmel Foot & Ankle
July 16, 2018
Category: Foot Health
Tags: Heel Pain  

Thanks to their location, your feet take a beating daily, carrying you from one place to another and ensuring that you can carry out your heel paindaily tasks. Without healthy feet, you may find yourself having difficulty doing the most simple of things, such as checking the mail or walking to your car. Heel pain is a common but potentially serious condition which can come from many sources. Luckily, with help from your podiatrist, you can beat heel pain and get back on your feet quickly. Find out more about heel pain treatments with Dr. Jeffrey Agricola at Prestige Podiatry with locations in Carmel and Indianapolis, IN.

What causes heel pain? 
Heel pain is a common occurrence, especially in those who are on their feet for extended periods of time. Heel pain is often the symptom of another problem but can occur on its own. The most common cause of heel pain is plantar fasciitis, which occurs when the thick band of tissue on the underside of the foot becomes inflamed. Heel bursitis, tarsal tunnel syndrome, stress fracture, Achilles tendonitis, and conditions like severs disease can also cause heel pain.

How can I prevent heel pain? 
Even if you take great care of your feet, you may still experience heel pain at some point. However, ensuring you wear good, sturdy shoes can help reduce your chances of heel pain. Be sure to wear the right shoes for the task you perform, such as running shoes for jogging or basketball shoes for shooting hoops. Be sure to rest your feet properly. Talk with your Carmel and Indianapolis podiatrist about custom orthotics to further improve your support and decrease your chances of experiencing heel pain.

Treating Heel Pain in Carmel and Indianapolis, IN
Heel pain treatments depend on the underlying cause of the pain and its severity. For example, some cases of heel pain may be best treated by the RICE method (rest, ice, compression, elevation). However, other patients may find physical therapy helps them most. In more severe cases, injection therapy or even surgery may solve the issue at hand. Your podiatrist can help you determine your best and most effective treatment options.

For more information on treating heel pain or how your podiatrist can help, please contact Dr. Agricola at Prestige Podiatry with locations in Carmel and Indianapolis, IN. Call (317) 846-4111 to schedule your appointment in Carmel, and (317) 881-0070 to schedule your appointment in Indianapolis today!

By Carmel Foot & Ankle
June 12, 2018
Category: Toenail Fungus
Tags: laser treatment  

Toenail FungusPatients who use public showers or pools often experience a foot condition called toenail fungus. It is an infection caused by fungi living in and around the nail. Cases of toenail fungus can be successfully treated by a foot doctor at Prestige Podiatry in Carmel and Indianapolis, IN.

Toenail Fungus Effects
If you notice that your toenails have taken on a yellow or brownish color and are thick, chipped, and flaky, this is one of the clearest signs of toenail fungus. Toenail fungus can also make your toes emit an unpleasant smell. If you notice a strange odor on your socks or inside of your shoes, this may be the presence of a fungus infection. In extreme cases, the nail can detach from the nail bed, presenting a new risk to your foot health, so this is not a problem you should ignore.

Traditional Treatments
The traditional way of curing toenail fungus is to apply an antifungal medicine, such as a cream or special nail polish. This method sometimes works, but sometimes it takes a long while to see the positive effects. It can also be messy and difficult for patients to remember to apply the medicine regularly. Oral antifungal medication can also help but may come with undesirable side effects.

Benefits of Laser Treatment
Today the preferred method of curing toenail fungus cases is to use lasers. During a laser treatment, your Carmel and Indianapolis foot doctor applies laser heat through a special wand that eliminates the fungus and stops the infection. Healthy nail tissue begins to grow over the next few weeks. Lasers are pain-free and provide fast results and relief. The fungus could be neutralized after just one short appointment.

Take Care of Your Toes
Your toenails provide your feet with much-needed protection, so it is important that you take good care of them. Contact a Carmel and Indianapolis, IN foot doctor to get treatment for toenail fungus using a laser procedure. Call (317) 846-4111 for the Carmel, IN, office or (317) 881-0070 for the Indianapolis, IN, office today to schedule a visit with Dr. Jeffrey Agricola at Prestige Podiatry.

By Prestige Podiatry
June 12, 2018
Category: Foot Health
Tags: Bunions  

Find out if that aching big toe could be the result of a bunion?bunions

A bunion is a common foot deformity that most often affects the joint at the base of your big toe, causing the joint to stick out. You may notice that suddenly your shoes fit a little too snugly around the area or that wearing shoes now causes you pain. If this is happening to you, our Carmel, Greenwood and Indianapolis, IN, podiatrist, Dr. Jeffrey Agricola, has the answers.

New foot pain should never go ignored. While you won’t want to rush into our office the minute you experience pain, if you are encountering these issues then you will want to come in and find out if a bunion could be to blame:

  • A visible bump at the base of the big toe
  • Any redness, swelling, or tenderness at or surrounding the joint
  • Severe or persistent pain
  • Pain when walking or wearing shoes

While a bunion is progressive, meaning that it can continue to get worse over time, there are simple measures that our Carmel and Indianapolis podiatrist can help you incorporate into your daily life to make sure that your bunion doesn’t get worse and to keep pain and swelling to a minimum.

Some of these measures include:

  • Rest
  • Splinting or bracing the bunion
  • Applying a bunion pad to the area
  • Wearing properly fitted shoes (and avoiding high heels or shoes with pointy toes)
  • Placing custom orthotics (shoe inserts) into your shoes

While the only way to correct a bunion is with surgery, this is rarely needed unless someone is dealing with severe pain that makes it difficult to walk or impacts their quality of life. Our Carmel and Indianapolis foot doctor is by your side to provide you with the pain-relieving care and treatment options you need to reduce symptoms.

Prestige Podiatry offers two convenient locations in Carmel and Indianapolis, IN, to serve you better. If you are concerned that your recent foot pain might be due to a bunion then call our office today to schedule a consultation with us.





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