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Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Foot Stretches Provide Strength and Improve Balance

Falls in older people are a major health concern that can lead to serious injury, reduced independence, and decreased quality of life.  Many falls are linked to reduced ankle strength, poor balance, and changes in foot structure that occur with aging. The ankles can be strengthened by practicing specific foot stretches, making the overall foot stronger. The feet and ankles play a critical role in stability, as they provide the base of support for movement and posture. When strength and coordination decline, the risk of falling increases, especially during walking or changes in direction.

Common symptoms associated with fall risk include unsteady walking, weakness in the lower legs, and difficulty maintaining balance when standing still. Some individuals may notice slower reaction time or a tendency to shuffle while walking. Ankle pain from falling may also develop, leading to further instability and hesitation during movement. These symptoms often create a cycle where reduced confidence leads to less activity, which then weakens muscles and increases fall risk over time. Early recognition of these signs is important for prevention.

 

Risk factors for falls in older adults include decreased muscle strength, joint stiffness, and poor flexibility. Conditions such as arthritis, neuropathy, and vision changes can affect coordination and awareness of surroundings. Wearing improper footwear and uneven surfaces further increase the likelihood of losing balance. Weak ankles and limited range of motion reduce the ability to adjust quickly during movement. These factors combined make it more difficult to maintain stability, especially in challenging environments or during sudden movements.

 

Improving ankle strength and balance can significantly reduce fall risk. Simple exercises such as ankle circles, heel raises, and gentle stretches help improve flexibility and stability. Balance training, including standing on one foot or practicing controlled movements, enhances coordination and confidence. Wearing supportive footwear and having a safe home environment also play an important role in prevention. If you have injured your ankle from falling, or if balance concerns are present, it is suggested that you consult a podiatrist who can provide effective relief solutions. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

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Foot Blisters Explained From First Signs to Full Recovery

Foot blisters are one of the most common skin conditions that affect active individuals and others who spend long hours standing or walking. A blister forms when repeated friction or pressure causes the upper layer of skin to separate from the layers beneath it. Fluid then collects in the space as a protective response. Blisters frequently affect the heels, toes, and the ball of the foot, especially when footwear does not fit properly or when moisture builds up from sweat.

Early symptoms often include a hot spot on the skin, followed by redness and mild irritation. As the blister develops, it becomes a raised, fluid-filled area that may feel tender or painful. Walking can become uncomfortable, and pressure from shoes may worsen the irritation. If a blister breaks open, the underlying skin becomes exposed and more vulnerable to infection. Proper care involves keeping the area clean, dry, and covered with a sterile dressing. Avoid removing the top layer of skin, as it helps protect the healing tissue.

 

Several factors contribute to the development of foot blisters. Tight-fitting shoes, poorly designed insoles, and rough seams can create repeated friction. Moisture from sweating softens the skin and increases susceptibility to damage. Long-distance walking, running, and high-impact activities also raise the risk. In addition, burns, allergic reactions, and viral skin infections may cause blister-like symptoms, which require careful evaluation to determine the correct treatment approach.

 

Prevention plays a key role in maintaining foot health. Wearing well-fitted, supportive shoes and moisture-wicking socks can significantly reduce friction. Keeping feet dry and using protective padding in high-risk areas may help prevent recurrence. Paying attention to early warning signs allows for quick action before a blister worsens. If you have foot blisters, it is suggested that you see a podiatrist for a proper diagnosis and safe treatment.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Anthony Ricciardi Jr., DPM of Foot & Ankle Specialists of Nevada. Our Doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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

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Ankle Pain and the Role of Proper Footwear

Ankle pain affects people of all ages and activity levels. The ankle joint is a complex structure where the tibia, fibula, and talus bones meet to allow movement, such as walking, running, and balancing. Because this joint supports body weight and absorbs impact, it is highly vulnerable to strain and injury. Ankle pain can develop suddenly from trauma or gradually from repetitive stress. Understanding how the ankle functions and what contributes to discomfort can help guide effective treatment and prevention strategies.

Symptoms of ankle pain vary depending on the underlying cause. Individuals may experience swelling, stiffness, and tenderness surrounding the joint. Pain may worsen with movement or weight bearing, making it difficult to walk or stand for long periods of time. In cases of injury such as twisting or rolling the ankle, bruising and instability may occur. Some people report a feeling of weakness or reduced range of motion. These symptoms can interfere with daily activities and may indicate a more serious condition if they persist.

 

Footwear plays a significant role in ankle health. Wearing shoes that are too tight, too loose, or poorly designed can place uneven pressure on the ankle joint. Wearing the wrong size can alter alignment and increase strain on surrounding ligaments and tendons. High heels, worn out soles, and shoes without proper support can contribute to instability and increase the risk of twisting injuries. Over time, wearing improper footwear can lead to chronic ankle pain and reduced mobility. Selecting well-fitting shoes with proper arch support and cushioning is essential for maintaining joint health.

 

Risk factors for ankle pain include physical activity, previous injuries, and environmental hazards. Uneven surfaces, sudden changes in direction, and wearing inadequate footwear increase the likelihood of twisting the ankle. Individuals who participate in sports or stand for extended periods of time may experience added stress on the joint. Treatment options depend on the cause but often include rest, compression, and supportive footwear. If you have ankle pain, it is suggested you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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The Timeline of an Ingrown Toenail

An ingrown toenail happens when the edge of the nail grows into the surrounding skin, causing pain, redness, swelling, and sometimes drainage. Mild cases may improve within days to a couple of weeks if treated early, but more severe cases can last much longer, especially if infection develops or the nail continues growing into the skin. Wearing tight shoes, improper nail trimming, toe injuries, and naturally curved nails can all increase risk. A podiatrist can determine how advanced the problem is, and provide treatment to relieve pressure and discomfort. Care may include lifting the nail edge, treating infection, or removing part of the nail when needed to prevent repeated problems. Waiting too long can lead to worsening pain and deeper skin involvement. If your toe remains swollen, tender, or shows signs of infection, it is suggested that you visit a podiatrist for proper treatment.

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 Anthony Ricciardi Jr., DPM of Foot & Ankle Specialists of Nevada. 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 Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Recognizing Diabetic Neuropathy Symptoms

Diabetic neuropathy is a nerve condition that develops when high blood sugar levels damage the nerves, most often in the feet. It may appear as tingling, burning, numbness, or sharp pain that can worsen over time. Some people notice a loss of sensation, which makes it difficult to feel cuts, blisters, or pressure. Causes are linked to long-term diabetes, poor blood sugar control, and reduced circulation. Risk factors include the duration of diabetes, age, and other health conditions that affect nerve health. A podiatrist plays a key role in identifying early signs through detailed exams and sensory testing. They can help manage complications, monitor skin and nail health, and create a plan to prevent serious issues such as ulcers or infection. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can treat foot neuropathy, and help you to manage this serious condition.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

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Understanding Gout Risk Factors

Gout is a well-known and ancient form of arthritis that occurs when excess uric acid in the blood forms crystals inside a joint. The big toe is often affected, leading to sudden pain, swelling, redness, and warmth that can make walking difficult. These episodes may develop quickly and feel severe even at rest. Several factors can increase the likelihood of gout, including inherited traits, regular alcohol use, and diets high in red meat or sweetened beverages. Being overweight and having certain health conditions can also raise risk. A podiatrist can confirm the cause of joint pain and provide treatment to reduce inflammation and prevent long-term damage. If you have symptoms of gout, it is suggested that you seek evaluation from a podiatrist.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

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Diabetic Foot Infections Should Never Be Ignored

Diabetic foot infections develop when high blood sugar damages nerves and reduces circulation in the feet, making it harder for small cuts or blisters to heal properly. Many people first notice redness, swelling, drainage, or a sore that becomes painful or develops an unpleasant odor. Some patients feel very little discomfort because nerve damage can limit sensation. Without treatment, the infection may spread into deeper tissue, bone, or surrounding skin. A podiatrist can examine the wound, order imaging tests, clean infected tissue, and recommend advanced wound care or antibiotics when needed. Early treatment often lowers the risk of serious complications, including hospitalization or limb loss. Prompt medical attention can protect mobility and improve long-term health. It is strongly suggested that if you have signs of a diabetic foot infection, you schedule an immediate evaluation with a podiatrist.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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When Surgery May Help Plantar Fasciitis

Plantar fasciitis involves inflammation of the thick band of tissue along the bottom of the foot, often causing heel pain with the first steps of the day. Most cases improve with conservative care, but when chronic pain persists and limits daily or physical activities surgery may be considered . The procedure typically involves releasing a small portion of the plantar fascia to reduce tension and improve movement. Good candidates are those who have not responded to other treatments and continue to experience significant discomfort. Risk factors include overuse, poor footwear, and foot structure. A podiatrist can provide non-surgical care, and determine if surgery is appropriate. If you have symptoms of plantar fasciitis, it is suggested that you consult a podiatrist who can provide a proper diagnosis and determine the best treatment option for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Anthony Ricciardi Jr., DPM of Foot & Ankle Specialists of Nevada. Our Doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

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