Vascular/Nerve Problems

Acrocyanosis 

Acrocyanosis is a painless disorder that affects the arteries supplying blood to the skin of the hands and feet. These small arteries carry oxygen and nutrients through the blood to the skin of the extremities. Spasms in the arteries block blood flow in people with this condition. Without adequate blood supply, the skin lacks oxygen, which changes the skin color to a dark blue/purple color. This characteristic color is called cyanosis.

Vascular 1

Acrocyanosis is generally a benign condition, but can be indicative of a serious medical illness elsewhere in the body, such as cardiovascular or connective tissue disease. It occurs more frequently in women than in men. Symptoms include feet that are persistently cold in temperature, blue skin discoloration, sweaty or moist skin, and swelling.

Treatment focuses on keeping the foot warm and the blood circulating normally. It may include wearing insulated boots, thin polypropylene liner socks to help keep the moisture away from the skin, and/or use of an insulated sock to maintain normal skin temperature. The disorder itself cannot be remedied, but does not worsen over time.

Alcoholic Neuropathy

Alcoholic peripheral neuropathy is a nerve loss condition in the foot caused by the prolonged use of alcoholic beverages. Ethanol, the alcoholic component of these beverages, is toxic to nerve tissue. Over time, the nerves in the feet and hands can become damaged resulting in the same loss of sensation as that seen in diabetic peripheral neuropathy. The damage to these nerves is permanent. A person with this condition is at the same risk, and should take the same precautions as people with diabetic peripheral neuropathy. Another form of peripheral neuropathy is caused by exposure to toxins, such as pesticides and heavy metals, and is equally detrimental to health. 

Treatment for alcoholic peripheral neuropathy may include Vitamin B-12 injections, certain oral medications to ease any burning pain, topical ointments, neurogenics, and galvanic stimulation (which is the therapeutic use of electric current, particularly for stimulation of nerves and muscle). Note: Please consult your physician before taking any medications.

Chillblains (cold feet)

Chillblains are caused by the skin's abnormal reaction to cold. Circulation is a determining factor for chilblains; people with poor circulation in the feet are more susceptible.

Chilblains are characterized by small itchy, red swellings on the skin, and these become increasingly painful, swell, and dry out, leaving cracks in the skin and exposing the foot to the risk of infection. They will occur on the extremities—the toes (particularly the smaller ones), fingers, the face (especially the nose), and the ear lobes. They can also occur on areas of the feet exposed to pressure, such as on a bunion or where the second toe is squeezed by tight shoes. Symptoms include burning and itching, swelling or redness, breaks in the skin, and ulcers.

Treatment includes keeping the body, legs, and feet warm, especially for individuals who have poor circulation and/or limited mobility.

Calamine lotion will take away most of the skin discomfort. If chilblains become ulcerated, application of an antiseptic dressing is the recommended form of treatment.

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Erythromelalgia

Erythromelalgia is a rare disorder that results from enlarged blood vessels in the feet. Because the blood vessels are open or dilated, oxygen and heat from the blood is discharged into the tissues, making the feet turn red and feel hot all the time. Prescription medications that restrict the opening of the blood vessels is the typical treatment. Note: Please consult your physician before taking any medications.

Ischemic Foot

Ischemic foot refers to a lack of adequate arterial blood flow from the heart to the foot. There are a wide variety of possible causes, including arterial blockage from cholesterol deposits, arterial blood clots, arterial spasms, or arterial injury. With ischemic foot, the person suffers from an inadequate blood supply reaching the foot to provide the oxygen and nutrient needs required for the cells to continue to function.

Symptoms typically include cold feet, discoloration in the toes, muscle cramping, and, over time, ulcers and pain.

Treatment includes walking exercises to increase blood flow, wearing protective shoes, and medications. Note: Please consult with your physician before taking any medication.B

Neuroma

A neuroma is an enlarged, benign growth of nerves, most commonly between the third and fourth toes. Neuromas are caused by tissue rubbing against and irritating the nerves. Pressure from poorly fitting shoes or an abnormal bone structure can also lead to this condition. Symptoms may include sensations of thickness, burning, numbness, tingling, or pain in the ball of the foot.  Treatments generally include wearing corrective shoes or orthotics and/or receiving cortisone injections. In severe cases, surgical removal of the growth may be necessary.

Morton's neuroma is a thickening of tissues around the nerve that leads to the toes. Morton's neuroma usually develops between the third and fourth toes in response to an irritation, such as that caused by wearing high-heeled or narrow shoes, or even from trauma. Symptoms may include a burning pain that radiates from the ball of the foot to the toes or numbness in the toes. Conservative treatments usually resolve the pain or progressions of the condition, and range from wearing roomier, lower-heeled footwear or using orthotics to reduce the pressure on the nerve, to injections of corticosteroid medication to reduce swelling and inflammation.

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Spasms

Spasms are contractions of the hands, thumbs, feet, or toes and are sometimes seen with muscle cramps, twitching, and convulsions. The contractions of the muscles can be violent.

Carpopedal spasms, or spasms in the feet or toes, are usually accompanied by numbness, tingling, or a "pins-and-needles" feeling; muscle weakness; fatigue; cramping; twitching; and uncontrolled, purposeless, rapid motions.

Common causes of spasms include:

  • Vitamin D deficiency.

  • Hyperventilation (calcium becomes temporarily unavailable to the body during hyperventilation).

  • Hypocalcemia.

  • Muscle cramps, usually caused by sports or occupational muscle injury.

  • Parkinson's disease and other neuromuscular conditions.

Spasms of the hands or feet can be an important early warning sign of other serious health problems, so it is important to seek medical attention. Treatments may include calcium and Vitamin D supplements (if you have a deficiency).

Venous Stasis

Venous stasis is a loss of proper function in the leg veins that carry blood back toward the heart. This may occur following an injury to the veins, which may lead to blood clots in the superficial veins (known assuperficial phlebitis) or blood clots in the deep veins (known as deep venous thrombosis).

Individuals with this condition usually exhibit swelling of the legs and ankles. The superficial veins in the legs may be varicose, causing the veins to become enlarged and appear as a cord, or a bunch of grapes. Patients often complain of a feeling of fullness, aching, or tiredness in their legs. These symptoms worsen with standing, and are relieved when the legs are elevated. As the condition progresses the blood continues to collect in the feet, ankles, and legs.

Rest, elevation, and compression stockings are the most common forms of treatment.

 

 

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Services

Tenex Health TX™
  • Tenex Health TX™

    Plantar fasciitis or achilles tendonitis, an inflammation, irritation and swelling of the tendon, comes from an injury or doing the things you love or need to do—over and over again. Repetitive motions, no matter how ordinary, can cause small micro tears that occur each time you use your tendon. When the micro tears do not heal properly, tendinosis (tendon degeneration) can occur.

    Percutaneous tenotomy or percutaneous fasciotomy, using ultrasonic energy powered by the Tenex Health TX™ System, is a safe and quick procedure specially designed for those who are suffering from painful conditions associated with chronic tendon damage. The procedure treats tendinosis or fasciitis in the ankle and foot.

    Tenex Health TX is based on advanced technology developed in collaboration with the world renowned Mayo Clinic.

     

    Tenex Health TX™ benefits:

    If you have tried physical therapy, cortisone injections, medication, or just taking time to ice, stretch and rest and are still in pain, talk to us. We now have a solution that does not involve general or open surgery, may give you quick pain reduction and should have you back to enjoying the things you love in a few weeks to a few months.

    Patient benefits may include:
    ∙ Quick pain relief
    ∙ Rapid return to normal activities
    ∙ Local anesthetic used instead of general anesthesia
    ∙ No sutures, no stitches (requires only a small, adhesive bandage)
    ∙ 20­minute, minimally invasive procedure (not open surgery)
    ∙ Coverage by most insurances

  • How does Tenex Health TX™ work?

    Precisely targets your damaged tissue. Your doctor uses ultrasound imaging, just like the kind used to see babies in the womb, to visualize and identify the specific location of the damaged tendon tissue.

    Gently removes damaged tissue. Once the source of your tendon pain is identified, your doctor numbs the area with a local anesthetic, allowing you to stay awake the entire time. Many people say after the numbing process—which feels like a bee sting—they felt only a slight pressure during the procedure (if they felt anything at all). Your doctor then uses gentle ultrasonic energy designed to safely breakdown and remove the damaged tissue. The ultrasonic energy is applied with the TX MicroTip, which requires only a microincision to reach the damaged tissue. Because the incision is so small and the ultrasonic energy precisely treats only the damaged tendon tissue, the surrounding healthy tissue is left unharmed.

    Requires no stitches. When the procedure is completed, your doctor applies a small adhesive bandage; no stitches are required. Because you are awake during the procedure (no general anesthesia), many people are able to drive home after the procedure.

    Can offer nearly instant pain relief with a rapid recovery. Recovery is rapid with many people being back to normal activity within 6 weeks or less. Because the surrounding healthy tissue is not disturbed, and no stitches or general anesthesia is required, there is minimal downtime and less discomfort compared to open surgery. The speed of your recovery depends on the location of your tendinitis and your individual results may vary.

     

    What areas of the body does our practice treat with Tenex Health TX™?

    Our practice treats the ankle and foot with Tenex Health TX.

  • VIDEO: Learn more about Tenex Health TX™

    As a percutaneous tenotomy or percutaneous fasciotomy procedure, Tenex Health TX is typically covered by Medicare­approved and private health insurers. It is always recommended that patients consult the treating physician and individual health plan. For more information, visit www.tenexhealth.com.

    MKT112. Rev. C


  • LAPIPLASTY® Procedure Patient Education Video from Treace Medical Concepts on Vimeo.

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