My Blog
By Dr. Steven Miller
June 14, 2018
Category: MRI

Open and closed MRI machineMetallic fibers are sometimes incorporated in clothing to keep odor and bacteria from building up. Examples include socks and athleisure (yoga) clothing. However, these fibers can burn the skin if worn in an MRI scanner.

Metal produces heat in a magnetic field.  Unfortunately, one 11-year-old girl found out the hard way. She was sedated during an MRI for scoliosis, but when she woke up, she felt burning on her skin. She received a second-degree burn from silver microfibers in her undershirt.

Clothing that says “anti-microbial” or “anti-bacterial” in the label should be avoided in an MRI scanner.

By Skokie Foot & Ankle
May 22, 2018
Category: Tumor

PLANTAR FIBROMATOSIS is a disease in which nodules form in the bottom of the foot.

Here are six things to know.

1.  It was first described by Georg Ledderhose in 1897, and is therefore referred to as Ledderhose disease.

2.  The exact cause for fibrous nodules (thickening) forming along the plantar fascia ligament is unknown.

3.  Nodules can occur in one or both feet.

4.  Walking can be painful when these slow-growing lumps increase in size.

5.  Biopsy is used to confirm that these are not cancerous growths. 

6.  If pads and inserts do not provide sufficient relief, procedures such as intralesional injections, surgical excision, or radiation (radiotherapy) should be considered.

If you feel a bump on the bottom of your foot, schedule an evaluation with Dr. Steven Miller by calling (847) 675-3400 or clicking here.

By Dr. Steven Miller
April 02, 2018
Category: Shoes

Dad shoesFor the last many years, stylish sneakers had a low-key, clean cut, almost plain profile. Now bigger, sturdier sneakers are making a strange resurgence in the fashion world. Pop culture calls them “dad shoes”.

When I was a teenager, I remember my father in white and navy Nike Air Monarchs. Some credit the recent comeback of chunky sneakers to Balenciaga Triple S (=Triple Sole).

Brands such as New Balance have been creating heavily cushioned and supportive sneakers for years. Steve Jobs, the late Apple co-founder, was an avid New Balance wearer.

Dad taught us to work hard and be courteous, honest, and straightforward. Now we can also credit him for shoes that are "good for your feet".

March 29, 2018
Category: Bone

Osteoporosis boneIf you suffered a stress fracture, ask “Am I at risk for osteoporosis?”

Osteoporosis can affect men and women of all races. But some — especially older women— are at higher risk.

Most people reach their peak bone mass by their early 20s. Maintaining higher bone mass can decrease the likelihood of osteoporosis later in life. 

Although foot fractures can be painful, fractures in the spine or hip are more serious complication of osteoporosis with an increased risk of death within the first year after the injury.

Osteoporosis is more likely to occur in people who have:

  •  Low calcium intake 
  •  Eating disorders
  •  Gastrointestinal surgery (low calcium absorption)
  •  Steroid or certain other medication
  •  Sedentary lifestyle
  •  Tobacco use

If you find it difficult to get enough calcium from your diet, consider taking calcium supplements. However, too much calcium has been linked to kidney stones. Vitamin D improves your body's ability to absorb calcium. 

Exercise will benefit your bones no matter when you start, but you'll gain the most benefits if you start exercising regularly when you're young and continue to exercise throughout your life.

Swimming, cycling and exercising on machines such as elliptical trainers can provide a good cardiovascular workout (especially if you have a painful foot), but they're not as helpful for improving bone health.

Treatment recommendations are often based on a bone density test (DEXA). For people at high risk, the most widely prescribed osteoporosis medications are bisphosphonates. Examples include:
  •  Alendronate (Fosamax)
  •  Risedronate (Actonel, Atelvia)
  •  Ibandronate (Boniva)
  •  Zoledronic acid (Reclast)

It is important to understand the risks associated with bisphosphonates before beginning therapy. Perhaps a different medication is preferable, such as hormone replacement, Denosumab (Prolia), or Teriparatide (Forteo).

For more information, Dr. Steven Miller can be reached by calling (847) 675-3400.

Picture of vitaminsIf you sustained a broken bone, stress fracture, or are at higher risk for these, look at your VITAMIN D and CALCIUM consumption.

Examples of people at higher risk for broken bone / fracture:
  ◦  Increased exercise, especially during winter or spring months.
  ◦  Diabetes (type 1 and type 2)
  ◦  Older adults
  ◦  Obesity and some weight-loss procedures

Vitamin D and calcium are naturally present in some foods, but most people in Illinois need a supplement to reach recommended levels due to the lack of exposure to sunlight. Between 600 - 2,000 IU of vitamin D3 and 1,000 mg of calcium a day are typical. Blood tests can help decide whether supplementation is appropriate.

To achieve maximum absorption of vitamin D and calcium, they should be taken with a meal containing fat, such as meat, chicken, avocados, cheese and nuts.

Healthy feet need strong bones. If your bones need an expert’s assessment, contact Skokie Foot & Ankle Specialists today at (847) 675-3400 or by clicking here.

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