15 Year Anniversary

In July of 2002 the ink dried on the paperwork and New Mexico Foot & Ankle Institute was formed out of the ashes of a practice run by Dr. Michael Federico.  Dr. Federico had run a fantastic practice out of both Albuquerque and Artesia.  His service model was 2nd to none and New Mexico Foot & Ankle Institute was formed in hopes of taking all the good from that practice and building it up to what it is today.  We are celebrating 15 years in practice this month here in Albuquerque.  The Artesia practice was closed 7 years ago due to the cost of commuting so far.  We still miss our Artesia and Roswell offices but our families don’t miss us being gone so much.  We have grown from a one doctor practice to a four doctor practice with two locations in Albuquerque.  We continue to strive to treat our patients better than any practice in town and due to some great employees we are able to pull this off the vast majority of the time.  We plan to celebrate our 15-year anniversary all summer long with some specials for our patients to thank them for being so loyal to us over the years.  We continue to do what we do because we love the patients that come to see us.  Those relationships that have been built help us to keep going each day.  We’ll keep making those feet feel better as long our patients keep coming to see us and letting us be a part of their lives.  Thanks to everyone who has been part of the past 15 years.  Here’s to another 15 wonderful years!!

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

#topdoctors #bestABQfootdoctors #nmfai #wesavesoles #fifteenyearsstrong

Summer Sandals and Ugly Nails

toenail fungusWe treat onychomycosis, aka toenail fungus.

It’s finally getting warm and spring has arrived and summer is almost here.  The sandals always start to show up in clinic this time of year.  We get an influx of both new pain from the less supportive sandals and the wave of folks who realize that those ugly nails need to be treated if they are going to be showing them off in sandals.  Men and women both like to have normal nails and after a winter of hiding them in shoes it is time to figure out how to get them looking normal again.  Almost all of the cases of ugly nails come from a fungus that grows in the nail and makes them thick, discolored and ugly. Most folks have tried something the pharmacist, the neighbor, or the internet has suggested and figured out after a few months that they are getting nowhere fast with the current “stuff” they are putting on the nails.  Unfortunately, after coming to see a professional they realize that there is no quick fix for those ugly nails.  It takes a lot of work and patience to get them clear and pretty again.

Topicals as a general rule work only about 25% of the time regardless of whether it is the internet sensation or the latest billion dollar prescription medication.  That leaves you with two options, laser therapy or a pill.  A good discussion with a qualified, knowledgeable podiatrist will help you decide which option is best for you, visit our NM Laser Nail Centers site.   In some rare cases people even choose to just to remove the nails temporarily or permanently.   In all cases if you have fungus in your nails you should work with your doctor to find the quickest and most effective way to get hose nails back to normal again.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

#topdoctors #bestABQfootdoctors #nmfai #wesavesoles

Wrong size shoes?

Are you wearing the wrong size shoes? A recent study done in the UK on 2000 patients shows 1/3 of men and almost ½ of women have shoes that don’t fit right.   Some people might ask how that is possible but it doesn’t really surprise those of us who work with feet every day.  What people don’t realize is that their feet change constantly over time and the size you wore in high school is not the size you should be wearing now.  To compound this problem we have less and less stores fitting people and more and more folks are just plain buying shoes online and not trying them on at all.  I often joke with people about the fact that most shoes are now being made out of the U.S. and the standards are not very high and shoes just don’t fit like they used to.  We also see routinely that a size 10 in a Nike doesn’t even fit close to the same as a size 10 in a New Balance shoe.  In the clinic each day I see people with real problems that can cause real pain.   I see at least 1-2 people a day who simply need to invest in a properly fitted and properly stable shoe.  They don’t need surgery, and they don’t need injections, casts, or prescription medications.  Just a new pair of shoes.  Find a good store where they still carry a measuring device for your foot or ask your podiatrist for your size and go get some good shoes.  What constitutes a good shoe?  That’s a blog for another day.  How often do you go to a doctor and he simply tells you to go shopping.  Probably not often but it’s a great way to prevent foot pain, so start shopping.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

#topdoctors #bestABQfootdoctors #nmfai #wesavesoles

 

Peripheral Vascular Disease (PVD)

Peripheral vascular disease can effect one or more of the three types of vessels or “pipes” that carry fluid or blood in the extremitiesperipheral vascular disease

  1. Arteries – carry blood and fluid away from the heart. Harder. More narrow and more pressure.
  2. Veins – carry blood back to the heart. Bigger, wider, less pressure.
  3. Lymphatic’s – carries lymph (a clear fluid that bathes the body) back to the heart.

Vascular disease is very common, which is a broad term that describes disease to one or more of the above types of blood vessels in the circulatory system. It often does not get the attention that it frequently needs as many doctors are busy trying to prevent and treat coronary arterial disease (CAD)/heart disease, heart attack, stroke, smoking, and diabetes.

Patients frequently present with pains in the legs and foot and need treatment for their peripheral vascular disease. Podiatrists treat these problems on a frequent basis and can frequently help patients get back on track to a healthier and pain free life.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Justin Ward, DPM

 

PAD (Peripheral Arterial Disease)

peripheral arterial diseaseThe least favorite problem we treat in podiatry is peripheral arterial disease.  I think the main reason we don’t like it is because we can’t do much about it and it can be so devastating.  In our diabetic population it is one of the main causes of leg amputations.  When the vessels of the leg clot up and very little blood can flow to the foot it results in pain early on and gangrene in the later stages.  It is important to recognize the symptoms and have a vascular surgeon evaluate the options for fixing the problem.  Much like a heart attack it is a much better prognosis the earlier it is dealt with.  For some the early treatments are just a little more walking and an aspirin each day.  For the serious ones surgical intervention can save the limb.  Most cases are easy for a podiatrist to recognize and treat.  It is not unusual for me to walk in a room and look at a leg from afar and identify signs of poor circulation.  Risk factors include smoking, obesity, leg pain while walking that resolves quickly with rest and in the late stages pain in the digits with elevation or even just lying in bed at night which is resolved with hanging the legs down.  If you have any questions or concerns about possible circulation issues associated with peripheral artery disease see a qualified podiatrist who can evaluate you to determine if you need a complete work-up by a vascular clinic.  If you just want to prevent possible problems down the road then just focus on eating well, stay healthy and keep walking.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

Mother’s Day Nagging Neuroma

neuromaNeuromas are a painful condition that affects the ball of the foot.  It is worse with tight shoes and barefoot usually. Sometimes people get radiating pains out into the toes and sometimes they just feel like they are walking on a lump of something.  Many folks get a nagging soreness that just doesn’t want to go away.  My mother suffers from a nagging neuroma that doesn’t really hurt, but is sore most days.  She isn’t in pain but isn’t excited to go for a walk or do much shopping.  She has switched her shoes and now wears wider shoes even to church.  She doesn’t complain much but it is obviously still an issue.   I recently mailed her some orthotics with a special pad for the neuroma which also helped a little but she continued to have soreness with walking and standing too much.  This weekend she happened to be in town visiting family and we discussed options at length.  No one wants a shot in the foot but sometimes the inflammation just won’t go away with the other small things we do to get rid of the problem.  She kept justifying that it isn’t very painful and it probably doesn’t need an injection but it isn’t getting better and she really isn’t pushing this at all and isn’t really walking a lot.  After some gentle pushing she agreed to an injection for her pain.  It doesn’t sound like a great Mother’s Day gift but if it completely cures her problem I will count it as one of the best gifts I could give her to keep her walking and healthy.  We casted her for some custom orthotics and I’ll make her a great device to slip in her shoes and keep that nagging neuroma from ever coming back.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

#bestABQfootDocs, #topdocs, #wesavesoles  #nmfai

Socks as Shoes?

There is no question that after a long day at work or play we all enjoy removing our shoes and getting a little air for our feet.  The issue is how far should that barefoot thing really go.  Walking around our homes on our soft carpet for an hour or two in the evening is one thing and going for a jog is something altogether different.  The barefoot running crowd has made a few appearances in the mainstream over the past 50 years.  The movement never really gets a lot of traction amongst the “normal” folks out there.  Running or hiking barefoot is really something designed for an athlete who is close to being in “perfect” shape.  It is not something for those of us who are maybe a few (or more) pounds overweight, or for those of us who haven’t run in a few years and want to get back into it, or for those of us who are running a little but doing more lower impact exercise or who just quite frankly don’t have a body made for marathons.  The vast majority of patients I see on a daily basis should run from the idea of being barefoot.  If you have foot pain of any kind you probably need to be looking for a more stable and firm shoe rather than looking to get rid of your shoes.  The most recent excitement about barefoot running with a variety of new shoes that were closer to socks than shoes has mostly died out again due to more injuries than success with the attempts.  So if you are running 25 miles or more a week and want to try barefoot running my only advice is to be careful, start slow, and get some good coaching if you need to change to new running style.  For the rest of us who are just trying to stay in shape and enjoy running on a more recreational basis, stick with a good stable running shoe and even consider a good orthotic to go with it and enjoy this link to another attempt to protect those feet while running around without shoes on.

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Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

 

Kinesio Tape

We’ve all been seeing the colorful tape applied in all kinds of configurations on all sorts of locations around the body.  What is this colorful tape all about?  It is not just a fashion statement, or at least it shouldn’t be.  Kinesio tape was designed to help aid in healing and support of injuries.  It can be used for almost all aches and pains wherever they are bothering you.  Pain is the #1 indication for kinesio taping.  KT tape is the brand of tape that we see on the shelf at Walmart now so is the brand most are familiar with.  The benefit of kinesio tape is that it is easy to apply, can provide significant support and relief of pain and aid in recovery of injuries.  Despite the ease of application at home it is still not a good idea to google your pain and self diagnose your problem and self treat.  Despite this working out at times for your friends it may not be a good idea for you.  Depending on the nature of your injury a good diagnosis from a foot and ankle specialist will almost always result in speeding your recovery and elimination of your pain as quickly as possible.  It is almost a daily occurrence that patients come in with problems that have been going on for weeks and sometimes months.  At that point it is harder to treat and almost always takes longer to heal.  Come in early and we’ll treat you quickly and give you every tool available to aid in your quick recovery.  If you are lucky you’ll walk out with some colorful tape applied to your foot. We’ll teach how it works so that you can make sure you are going to get the best results from the treatment.  Come see us today and we’ll get you on the path to recovery.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

 

Foot Fractures Take Time to Heal

I saw an article this week http://www.philly.com/philly/blogs/sportsdoc/Why-is-76er-Ben-Simmons-foot-fracture-taking-so-long-to-heal.html.  That reminded me of questions and sometimes complaints I get in the office every week.  The question is why does it take a fracture so long to heal?  First off, most of the time the question is asked about normal healing time.  Somehow folks think that fractures should heal overnight.  While that would be great, it would be described more appropriately as a “miracle.”  While I do believe in miracles, it doesn’t happen much in my clinic.  So what is normal?   I use my active, healthy son as a good example.  He was 13 years old when he broke a bone in his hand.  It was a simple fracture with good position and just needed to heal.  He was placed in a cast for 6 weeks.  So that is “normal.”  Some fractures are more complicated with poor position, larger gaps or space between the fragments or instability where it wants to keep moving around.  On top of those poor indicators you have to add on that most of us need to use these bones to put all of our weight on.  With some fractures like the one Ben Simmons has you add on the risks of poor blood flow to certain areas and you can have a fracture that may take 3 months or more to heal.  So I’ll just apologize now to all who may end up in my office with a fracture.  It’s going to take time to heal and you are going to have to slow down and in most cases use type of cast for at least a month.  Even those toe fractures that “you don’t need to worry about” still take months to heal and need protection.   So I’m sorry you broke your foot but I need to treat the fracture and tell you that you most likely will not be breaking the laws of nature this month and will have to just try and patiently wait for this fracture to heal.  We’ll get you through it by following the healing with x-rays and protecting it with a boot or cast or special fracture shoe and give you recommendations to get you back to normal activities just as fast as we can.  Don’t live life with a foot fracture.  Come see us right away and we’ll speed the process along just as fast as humanly possible.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM

 

Arch Madness

March brings the onset of spring and warmer weather.  As we decide to start doing more walking outside it’s also a great time to inspect our orthotics. Many orthotics are very durable and will last sometimes for years. Patients always ask when it is time to replace orthotics.  With plastic orthotics it is often hard to tell when they are worn out.  The biggest sign is increased symptoms in our feet. Orthotics wear out by getting softer and less supportive. If you don’t feel like you are getting the same support you used to, I can assure you that you are right.  If you have an over the counter orthotic and it is over a year old it is probably time to replace it. You can put a new orthotic in your exercise shoes and use the old ones in our old dirty work shoes or some dress shoes that need some increased support.  Custom orthotics that aren’t as supportive also make a good 2nd pair of orthotics for shoes that we don’t use as much and don’t do as much walking in.  March is a great time to come in and get fitted for some new orthotics. Bring in your old orthotics (custom or over the counter) and we’ll give you $50 off a new pair of custom orthotics.

Don’t Live Life in Pain! Call us today for an appointment at 505.880.1000. We take care of your feet…so that they’ll take care of you!

Nathan Ivey, DPM