Smoking affects more than the lungs and heart. It also damages blood vessels that deliver oxygen and nutrients to the feet. Nicotine tightens these blood vessels, while other chemicals in tobacco smoke harm their lining. These changes restrict circulation and increase the risk of peripheral artery disease, a condition that reduces blood flow to the legs and feet. Without a healthy blood supply, skin becomes more vulnerable to injury and wounds heal less effectively. People who smoke also face a greater risk of serious foot complications, particularly when diabetes or existing circulation problems have already placed their feet at risk.

Reduced circulation sometimes causes cramping in the calves or feet while walking. The discomfort usually improves with rest, but more advanced disease causes pain even when the feet are still. Other changes include cool skin, unusual discoloration, or sores that remain open. Some patients develop fewer noticeable symptoms despite significant circulation problems. Smoking also interferes with the body's ability to repair damaged tissue and fight infection. A small wound might develop into a deep ulcer, which is an open sore that requires medical attention. Severe loss of blood flow threatens tissue survival and raises the risk of limb loss.

A podiatrist evaluates these concerns by reviewing smoking history and asking about changes in walking comfort. The examination includes checking foot pulses, skin condition, and temperature. The podiatrist also checks sensation because nerve damage sometimes prevents patients from noticing injuries. Blood pressure measurements at the ankle and arm help identify reduced circulation. Additional testing provides more information about blood flow when examination findings raise concern. Sudden foot pain with coldness or a marked color change requires emergency evaluation because an abrupt blockage threatens the foot.

For patients with foot wounds, podiatric treatment includes removing damaged tissue and applying appropriate dressings. Pressure-relieving devices protect affected areas while healing progresses. Regular appointments allow the podiatrist to track wound size and identify infection promptly. Smoking also delays bone healing after a fracture and increases complications after foot or ankle surgery. Before creating a treatment plan, a podiatrist discusses these risks and helps to coordinate referrals for professional smoking cessation support. Addressing tobacco use supports better treatment outcomes and helps protect future mobility. If you are a smoker and are experiencing foot pain, it is suggested that you promptly schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Richard M. Allen, DPM from Idaho. our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A broken ankle, also known as an ankle fracture, occurs when one or more bones forming the ankle joint break. The ankle includes the lower ends of the leg bones, which connect with a bone in the foot to support movement and stability. Ankle fractures often result from sudden twisting injuries, falls, or direct impact. These injuries may occur during sports or everyday activities, particularly when the foot lands awkwardly. The severity of a broken ankle depends on the number of bones involved and whether the broken pieces remain properly aligned. Some fractures involve a small crack, while others cause significant damage to the ankle joint.

Symptoms of a broken ankle often include severe pain, swelling, and bruising around the injured area. Some individuals experience immediate difficulty standing or placing weight on the affected foot. The ankle may appear unusually shaped when the bones have shifted out of position. Tenderness around the joint and limited movement are also common. Although ankle sprains and fractures share similar symptoms, a broken ankle involves damage to the bone rather than only the supporting ligaments. In certain cases, individuals remain able to walk despite having a fracture. This makes a professional evaluation important after a significant ankle injury. Without appropriate treatment, an ankle fracture may lead to ongoing discomfort or problems with joint stability.

A podiatrist evaluates a suspected ankle fracture by examining the injured area and assessing swelling, tenderness, and joint position. X-rays are commonly used to confirm the fracture and determine its severity. Treatment depends on the location and alignment of the broken bones. Stable fractures may require immobilization with a cast or walking boot, while more complex injuries sometimes require surgery. Follow-up examinations help monitor healing and restore ankle function. If you are experiencing severe ankle pain or swelling after an injury, it is suggested that you seek prompt podiatric evaluation and appropriate treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact Richard M. Allen, DPM from Idaho. our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pain across the top of the foot can make walking, exercising, and even wearing shoes uncomfortable. One common cause is extensor tendonitis. This occurs when the tendons running along the top of the foot become irritated or inflamed. These tendons help lift the toes and foot during movement. Repeated stress can cause inflammation and tenderness. While this condition may develop gradually, pain sometimes occurs after a sudden increase in activity or a change in exercise.

Symptoms of extensor tendonitis include aching, tenderness, or warmth across the top of the foot. Pain may become worse when walking, running, or moving the toes. Wearing tight shoes can increase pressure over the irritated tendons and make symptoms more noticeable. Friction from footwear also contributes to irritation. Some people notice discomfort when pressing on the affected area. Rest may provide temporary relief, but ongoing pain should not be ignored.

Several factors increase the risk of pain across the top of the foot. Increasing exercise too quickly can place extra stress on the extensor tendons. Activities that involve repeated running or jumping may also contribute. Wearing shoes that are too tight across the instep creates friction and pressure. Abnormal foot arches may change how weight is distributed during movement, which places additional strain on the tendons. Previous foot injuries also increase the likelihood of developing tendon irritation.

A podiatrist will examine your foot and assess your walking pattern, footwear, and areas of tenderness. Imaging tests may be recommended when a fracture or another condition needs to be ruled out. Treatment options include activity changes, supportive footwear, or other measures to reduce pressure on the affected area. Your podiatrist may also recommend a gradual return to activity as symptoms improve. If you have foot pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat extensor tendonitis.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Richard M. Allen, DPM from Idaho. our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An ingrown toenail occurs when the edge or corner of a toenail grows into the surrounding skin. The big toe is affected most often. This problem can cause tenderness, redness, and pain along the nail edge. Some people notice drainage or increased warmth when the area becomes infected. Ingrown toenails can make walking and wearing shoes uncomfortable. Getting care early may help prevent the problem from becoming more serious.

Several factors can contribute to an ingrown toenail. Cutting nails too short or rounding the corners can encourage the nail to grow into the skin. Wearing tight shoes can also place pressure on the nail. Structural conditions may increase the risk when the toe is curved, or the nail is unusually thick. Additionally, biomechanical problems can also change how pressure moves across the foot while walking. Repeated pressure from sports or activities may make symptoms worse.

Prevention starts with simple foot care. Trim toenails straight across and avoid cutting deeply into the corners. Choose shoes with enough room for your toes to move comfortably. Keep the feet clean and dry, especially after exercise. Check your toes regularly for redness, swelling, or tenderness. If an ingrown toenail keeps returning, a podiatrist can look for structural or biomechanical causes. Treatment may include gently lifting the nail, removing the affected nail edge, or using medication when infection is present.

A podiatrist will examine the nail and surrounding skin before recommending treatment. If infection or significant inflammation is present, appropriate care may be provided to control it. For recurring problems, the podiatrist may remove part of the nail and address the portion that repeatedly grows into the skin. Proper wound care and follow-up supports healing. If you have an ingrown toenail, it is suggested that you consult a podiatrist for effective relief tips, which may include minor surgery. 

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Richard M. Allen, DPM of Idaho. our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.