Dakota Foot & Ankle Clinic Blog

Posts for: January, 2015

By Dr. Brian Gale, DPM, FACFAS
January 27, 2015
Category: Uncategorized

What is P.A.D.?

P.A.D. is when your arteries become clogged with plaque and it causes the arteries to narrow and harden.  This can cause poor circulation, because blood flow is reduced.  It most often occurs in the arteries in the legs, but it can affect other arteries that carry blood away from the heart as well.  Your eyes, kidneys, and carotid arteries can be affected.  P.A.D. can be treated by lifestyle changes, medicines, or leg artery angioplasty.

Who is at risk?

It is most common in Americans over the age of 40, but the risk is increased if:

-You have Diabetes

-You smoke or have smoked

-You have had a stroke, heart attack, or heart disease

-You are of African American ethnicity

-You have high blood pressure

-You have abnormal blood cholesterol levels

-You have a family history of heart attacks, strokes, or P.A.D.

What does this have to do with your feet?

A podiatrist is usually the first medical professional to diagnose a patient with P.A.D. because symptoms usually occur first on the toes, feet and ankles.  The most common signs of P.A.D, include foot/toe pain while you sleep, cramps/tiredness in your legs, thighs, or buttocks (claudication), or ulcers that are not healing.

If you are showing any of these symptoms it is best to Request an Appointment with Dr. Brian Gale, DPM, FACFAS.  He will be able to use the SensiLase PAD-IQ System to help detect P.A.D.  This system is a state of the art system that does three separate tests to determine if P.A.D. is present and how severe it is.  Contact us at Dakota Foot & Ankle Clinic today at 701-255-3338.


photocredit: sivic via pixabay.com

By Dr. Brian Gale, DPM, FACFAS
January 05, 2015
Category: Heel Pain

Treatment of Heel Pain in Kids

Treatment options for kids vary depending on the severity of pain

Treatment for mild pain includes:

-Reducing or stopping activity that causes pain.

-Adding a cushioned shoe insert to soften the impact during activity and wearing a stiff soled shoe. 

-Wearing a shoe at all times

Treatment for moderate pain includes:

-Anti-inflammatory medication if it is safe to use for the individual.

-Physical therapy

-Orthotic devices.

Treatment for severe pain includes:

-Immobilizing the foot. Using a cast and crutches helps to avoid putting any weight on the foot.

-After immobilizing the foot follow up care may be used such as, custom orthotics, strapping, or physical therapy.

There are steps that can be taken to prevent heel pain and these include

-Weight reduction

-Choosing supportive shoes

-Limiting time wearing shoes with cleats.

Heel pain sometimes returns in children, because they are still growing.  If pain worsens, doesn’t reduce, or returns it is best to seek treatment from a podiatrist like Dr. Brian Gale, DPM, FACFAS.  The patient may needs a new treatment plan or they may need to return to the treatment previously discussed.  If your child has recurring heel pain Contact Us at 701-255-3338 today to make an appointment with Dr. Brian Gale, DPM, FACFAS.


photocredit: mcconnmama via pixabay.com