Ever wonder why your pain fluctuates from very little to intense but never goes away?   How many times have we had a sore foot, and after a few days of rest, the pain went away?

But, sometimes the pain lingers.  It is almost like a pendulum swinging back and forth.  Right when you think, “I’m going to make an appointment to see the doctor, “ it starts to feel better and you decide to wait it out.   You let the process continue and before you know it, it has been 6 months or a year with a nagging, maybe not horrible, but annoying pain. 

Treating chronic issues are different than treating acute injuries.  Usually, rest is simply not enough.  Even medications lose their ability to help with the pain. 

Heel pain is a great example.   Plantar Fasciitis is a common problem that many people suffer from.  Most of the time, we can treat people quickly and get them pain free in a matter of days or weeks.  Luckily, we have some of the best tools to diagnose and treat pain.  The right formula for pain free feet is different for everyone.

Some people need orthotics because their foot structure is causing re-injury.  Some people need stem cells because their body isn’t providing them with the right tools for healing.   Some people need steroid injections to help with the healing process.  A few people may need to have surgery.   There are usually options when treating your chronic pain, but more rest is not going help.

You could be doing more damage by waiting it out.  If you have been having pain for more than two weeks, you need to make sure your injury is not more severe.  Like anything else, the sooner you attack a problem, the easier and faster it is to solve.

On Jan. 31, 2019, Dr. Strimbu and 2 students from Barry University had the opportunity to be part of the Nova Southeastern University Career & Internship Round Tables hosted by the Career Development office of Nova University.
 
 
Dr. Adriana Strimbu,  Neemiah (2nd year Barry Univ. Podiatry Student) and Edgar Sy (4th year Barry Univ. Podiatry student)
 
It was more than a networking event, Career & Internship Round Tables engage students in deep dive discussions of tried and true practices.Students will have the opportunity to ask  a variety of questions about the field of podiatry ranging from “What resources should a student use to find work in their field once they graduate?” to “How can students get a podiatry internship or a chance of shodowing at a podiatry office?” This event provided students with the opportunity to gain first-hand information and practical advice on various career paths.  Because of the wide array of professional podiatry experiences, we were able to share invaluable information through open, honest dialogue with student who attend. Also having there 2 Barry University Podiatry students were able to explain to the undergradute students about their experiences at Barry University Podiatry School as well as provide them with infromation and advice about the requirments needed for the podiatry school.
 
Students were also informed about the DPM podiatry network, which is a program that helps students that are intrested in the field of podiatry or would like to find out more about the podiatry program. This network helps connect a student to a particular doctor within the area specified by the student. Students who are intrested can go to the link provided here ( DPM Mentor Network) and register for this network. Once they register they can request shadowing a podiatrist and this will help them get more familiar with the podiatry field. 

It’s astonishing how many things can go wrong because of flat feet. Of all the foot types this is the one that leads to the most foot conditions. Count your blessings if you have normal or high arches. If you have foot pain and aren’t sure of the cause it may be because of flat feet. This can be determined by a simple exam and more importantly x-rays.

Foot pain from flat feet left untreated can lead to permanent deformity, avoidable surgery, pain elsewhere in the body such as the knees or back, and even a permanent deformity.

Some of the most common foot conditions caused by flat feet are:

Some arches get flatter over time, however, most people who have flat feet are born this way. Since flat feet are hereditary, then the conditions named above are as well.

Beware Of Store-Bought Arch Supports

If you know your feet are flat and you’re experiencing foot pain it seems logical that getting shoes with better arch support or purchasing arch supports would help. Sometimes that’s true but more often it is not. If the arches from the shoes or store-bought arch supports don’t match perfectly to your arches, it can be uncomfortable.

One of the best things to do if you have flat feet, especially if you’ve experienced foot pain, is to avoid flat shoes. You should also minimize going barefoot or wearing flip flops.

Flat feet are often incredibly unstable causing the bones, joints, ligaments, and tendons to move excessively. Feet that move excessively and are unstable can lead to many different foot problems.

A Simple Solution

The number one treatment for flat feet is Custom Foot Orthotics. These inserts are the only way to effectively control and stabilize unstable flat feet. Store bought arch supports aren’t effective. Orthotics align the feet better which allows the bones, joints, ligaments and tendons to move optimally.

Many people who have had pain because of flat feet experience tremendous relief from orthotics. Not only do orthotics relieve foot pain, they can also prevent many foot conditions from recurring.

Bunions, hammertoes, bone spurs, tendinitis, and arthritis can be prevented by custom orthotics. Children who have flat feet and experience foot pain also benefit greatly from orthotics. Many active kids are brought to our office by their parents complaining there is pain when playing a sport. Most often they have flat feet. Orthotics relieve the pain almost 100% of the time.

Flat Feet Causes Knee and Back Pain

Since flat feet can also cause knee and back problems, wearing orthotics has solved many knee and back symptoms. Not everyone who has flat feet will ultimately have foot pain but many foot problems are from flat feet. A simple solution such as custom foot orthotics can help relieve the pain and prevent a recurrence.

Maybe most importantly, treating painful flat feet early enough can avoid foot deformities and major surgery.      

Dr. Strimbu can make you custom orthotics for your foot deformity. 

Call (954)455-9404 or Click Here to Make Your Appointment Today

January 13, 2019
Category: Big toe pain

There are many reasons why your big toe could hurt. We put a tremendous amount of weight on this part of our foot. It’s a wonder our big toes can hold up to so much pounding.


We’ll often see someone come in with big toe pain but have no visual signs of anything unusual. No report of an injury is usually the case. Some big toe conditions are obvious but some aren’t.

I’d like to share some of the most common reasons why the big toe could hurt.

Ingrown Toenail - this condition isn’t always so obvious. A big toenail that grows into the skin can cause the whole toe to hurt. It could be painful with or without shoes on. Usually, pressing on it a certain way would trigger pain. Fortunately, an ingrown nail is easy for us to diagnose and treat. A simple office treatment can relieve the pain immediately.

Arthritis - you don’t have to be 80 years old to get arthritis in your big toe. There’s an arthritic condition called Hallux Limitus that can occur as young as 35. Certain activities and shoes trigger the pain. It can make the big toe feel quite uncomfortable. The easy way to diagnose it is with an X-ray. If caught early enough arthritis of the big toe joint can be treated without surgery. Many people with this condition ultimately need surgery.

Sesamioditis - this strange word refers to inflammation of a small bone under the big toe called a sesamoid. We have two of these bones per foot. The pain from this would mostly be under the big toe. People who have high arches and are very active are most prone to sesamioditis. An exam alone can diagnose this but an X-ray is needed to determine if a fracture or arthritis is present.

Nerve Pain - there’s a nerve on the outside of the big toe where the toe connects to the foot that can get irritated. Sharp or burning pain are most evident. It can be caused by certain shoes, a minor injury, or certain activities. Hikers can get this because of the strain on their feet being on uneven surfaces. Since there are no visible signs of a nerve condition, an exam and X-rays are needed to make an accurate diagnosis.

There are many more conditions that can make the big toe hurt. Any swelling or discoloration of the big toe or of any part of the foot should be attended to immediately. Infection and poor circulation that goes unaddressed can have dire consequences.

Pain in the big toe that lasts more than a week should be examined and X-Rayed by a Podiatrist. Don't wait any longer with this pain! Seek treatment by your podiatrist and start walking pain free.

Whatever the diagnosis, the earlier it’s attended to the better chance for immediate relief and the lower the odds of a long-term problem. A long-standing big toe condition can significantly hamper your desire to keep active.

Avoid further foot damage, call 954-455-9404 for an appointment today or request appointment online now by clicking here.

Diabetes can cause devastating foot problems. It is recommended that every diabetic person have a yearly diabetic foot exam to prevent such foot problems. By having a diabetic foot exam your doctor can determine the risk factors involved. Risk factors involved with diabetes are poor circulation, burning and poor sensation in the feet, foot structural deformity (bunions, hammertoes, preulcerative callus, etc) just to name a few. All these can cause further damage to the feet and can even lead to ulcerations, infection and amputations if not wearing the proper shoe gear. Ulcers are the number one cause of limb amputations. Studies show that by having your feet checked yearly by a podiatrist can significantly lower the risk of amputations.

During your yearly diabetic foot exam, your podiatrist will determine what is your risk level and whether or not you need to wear diabetic shoes or not. Your circulation will be assessed, your nerves will be checked for neuropathy, and structural deformity will be noted. Many diabetics have all these 3 problems and don’t even know it. But having poor circulation and not feeling your feet are very serious problems. In fact, there are a lot of diabetics with poor circulation and burning or numb feet. What happens is, they will be ignoring their feet and since a good part of them do not know they have a problem or pain since their feet are numb.

Thus, the major problems are they are unable to feel their feet, their circulation is weak and on top of that, many also have bunions or contracted toes. And not wearing the proper shoe gear can easily cause pressure to the bunions or contracted toes and they will end up forming a little sore. But this little sore soon end up into a big sore.  This sore can easily get infected due to the poor circulation and  can be a devastating problem. This may lead to toe amputation or foot amputation.

Therefore, it is important that diabetic patients wear proper shoe gear to lower the risk of ulceration, infections and amputation.

How is a diabetic shoe different from a regular nondiabetic shoe?

Diabetic shoes are designed specifically for diabetic persons. They are also called extra depth shoes or therapeutic diabetic shoes. The reason being is that they are made in such a way to offer protection for the diabetic foot  thus reduce foot ulcerations.

Diabetic shoes offer 3 major unique qualities.

First quality is just as the name implies, extra depth, they have the extra depth that is required by the diabetic foot due to the deformity, swelling, poor circulation. They have more height into their toe box than a nondiabetic shoe.

Second quality is extra width. They range from narrow width to extra extra wide width. Many diabetics have difficulty finding the right shoes due to their deformity. Thus, diabetic shoes offer the extra room that is required by the diabetic foot.

Third quality is they have special heat molded insoles or custom molded insoles. These insoles are made of soft plastizote material which will mold to the patient’s foot deformity and thus prevent ulceration. Each shoe comes with either 3 pairs heat molded insoles or 3 pairs custom molded insoles.

Did you know you can obtain your diabetic shoes right here in our office? Yes, that’s right.

Dr. Strimbu can evaluate your feet, determine if you are at risk, and if you are, you can be fitted with diabetic shoes and insoles right here in our office. If you qualify, you are eligible to get a pair of diabetic shoes and insoles. Most insurances cover these diabetic shoes and insoles every year.

We have a huge selection of diabetic shoes that you can pick from including Dr. Comfort, Orthofeet, Anodyne, Atrex, Apex, Ped-Lite

Call (954)455-9404 or Click Here to Make Your Appointment Today.

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March 03, 2015
Category: Heel pain

Heel pain can be due to a vairety of reasons. Some of the differnetial diagnosis for heel pain are hee spurs, plantar fasciitis, calcaneal fracture, ruptured plantar fascia, Achilles tendonitis, Posterial tibialis tendonitis, Baxter nerve entrapement, sciatica just to name a few. You should take you heel/arch pain seriously and  get properly diagnosed in order to avoid further complications. Take action call a podiatrist today. Don't delay your proper diagnosis and treatment of this problem as it may get worst if left untreated.  Please feel free to call our office and schedule an appointment at 954-455-9404 or Click here to make an appointment onlineOur doctor is very well trained and has experience in treating your heel pain. 

Adriana Strimbu, DPM, PA

404 N Federal Hwy

Hallandale, FL 33009

954-455-9404

Hallandale foot and ankle specialist Dr. Adriana Strimbu can treat a variety of foot and ankle problems including diabetic foot care, sports related foot and ankle injuries, heel and arch pain, numbness and swelling of the feet and ankles. She provides treatment for all the foot and ankle problems to the residents of Hallandale, Ft. Lauderdale, Hollywood, Aventura, Miami and surrounding areas. Call today 954-455-9404 for an appointment or click here to make an appointment online.

Epidermal nerve fiber density (ENFD) testing is a technique used by neurologists for many years. This particular modality is based on the idea that most forms of peripheral neuropathy progress is from a more distal to a more proximal area of the body, starting with the smallest nerve fibers (C and A delta fibers) and then progressing proximally. This explains why most of the diabetic patients present with a so called "stocking-glove" distribution (i.e. feet-hands) type of peripheral neuropathy. 
What ENFD testing does, it measures the amount of small nerve fibers utilizing a 3 mm punch biopsy of skin. In so doing it may be used to determine the amount of nerve damage to the C and A delta fibers. 
There are a few advantages in using this type of testing for peripheral neuropathy over other techniques which are as follows: 
 It is the only test to measure directly small fiber neuropathy
 It measures the quantity of fibers present ( objectively) 
 It is more sensitive than quantitative sensory testing
 It is more sensitive and more invasive than sural nerve biosy
 It's diagnostic efficiency is 88%.
 It may predict the onset of neuropathy even before symptoms begin
 It is easily performed in our office in about 10 -15 minutes
 It is used to measure not only the severity of the small fiber neuropathy but also can be used to measure the treatment response to a particular medicine or any other treatment modality. Therefore, the ENFD testing is done at the beginning of a particular treatment and then in about 6 months is may be repeated to see if that particular treatment is actually working or not.

March 24, 2010
Category: Office
Tags: Untagged

Welcome to the Blog of Adriana Strimbu DPM

Whether you are an existing patient or searching for a podiatrist in the Hallandale Beach area, we're excited you are here. With the podiatry industry advancing, we recognize the importance of keeping our patients and visitors up to date with all of the new and exciting things taking place in our practice.

As we move forward with our blog, we hope to promote podiatric awareness as a vital part of your healthy, active lifestyle.Here you will find a variety of articles and topics including the latest developments in podiatry, podiatric treatments and helpful foot care advice from Dr. Adriana Strimbu DPM and her staff.

We hope you find our blog to be helpful, engaging and informational to ensure the long-term health of your feet.
As always, feel free to contact us with any questions or concerns.

-- Dr. Adriana Strimbu DPM





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