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October 17, 2014
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Fall is a great time of year in the state of Tennessee... Cooler temperatures, sunshine filled days, and beautiful changes in scenery. This allows a great opportunity for many to make their way to the Smoky mountains or other parks/trails for a day or weekend worth of hiking. However, one must carefully select their gear for such trips, and this certainly includes what to wear on your feet. Here are a few tips to ensure your hiking adventures are enjoyable and easy on your feet:

1. Proper shoe gear - For many of you, hiking may be an activity only enjoyed a few times a year. As a result, several people simply select tennis shoes/sneakers or cross trainers for their trip. However, these shoes are not made for that terrain. Select a good hiking boot with a stiff sole and good traction, and preferably one that extends and laces up past the ankle. This will provide more support and decrease your chances of a sprained ankle or tendinitis. 
2. Know your feet - Address and/or plan for any problems you may have experienced in your feet in the past. For example, if you have a history of ingrown nails, be sure to trim them well prior to stepping onto the trail. If you have flat feet or pain with long walks/runs, make sure to wear your inserts/orthotics (or have an evaluation for these issues prior to departure).
3. Socks - All that hiking will undoubtedly cause sweating, and depending on the weather/trail, you may find yourself in wet socks/shoes. Be sure to bring extra socks with you and keep them dry in your pack. Change them if your current pair becomes wet/saturated. This will help prevent from developing any fungus and/or blisters. Powder for your shoes and feet will also help. Synthetic socks are good for warmer climates, and wool for hikes on cooler days. Also be sure your socks extend up your foot/ankle past the top of your shoes. This will help prevent blister formation on the back of your heels and ankle. 

Hopefully these few simple tips will help make your hike enjoyable and easy on your feet. Stay safe and stay active!

October is National Down Syndrome Awareness Month! Please consider helping us support Jaylee Webb for the her buddy walk on October 25 in Centennial Park. Her mother, Kelsey, is one of our fabulous medical assistants. Thanks for your consideration!


Researchers and now using amazing technology from video games to help learn about pressure sites on diabetics' feet.  Many diabetics suffer from neuropathy  which causes them to lose sensation in their feet.  Because of this condition, as well as other complicating factors, many diabetics end up with ulcers on the botton of their feet.  Scientists are working on "smart socks" to help better figure out the pressure points on the feet in hopes of avoiding future ulcers.  Read more about this technology HERE.

If you or anyone you know suffers from diabetes and experiences any kind of foot pain or infection please call our office right away for an appointment (615-662-6676).  It could literally save their foot or their life!

September 08, 2014
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Dr. Bush enjoys helping patients with ingrown nails because so often they arrive in severe pain and leave feeling much better.  Here is some helpful information regarding ingrown toenails from Dr. Bush:

Ingrown toenails are a common problem seen in the feet. If recognized, diagnosed, and treated early, they are rarely problematic. However, many patients find themselves unsure of how to proceed when suspecting an ingrown nail. Is it really ingrown? Is it infected?
Can I cut it out myself? Can I take or apply medicine instead of cutting the nail out? All of these questions are fairly common, and reasonable.

 An ingrown toenail, or onychocryptosis, is when one or both sides of the nail grow into the adjacent nail fold/skin. They are usually caused by ill-fitting shoe gear, trauma to the nail, or improper trimming of the nail. An ingrown nail is not always infected. In fact, many times the nail can be embedded in the skin without an associated bacterial infection. However, if left untreated, many ingrown toenails will develop some sort of localized infection, which usually presents with redness, pain, bloody drainage, or even pus. While an infection is an undesirable result for any patient, it is especially concerning for diabetics with decreased sensation, or other patients with any condition causing poor circulation to the feet. Such an infection, if left untreated could lead to spreading of the infection, development of a wound, or possible amputation of the digit. Thus, while there are many home remedies or methods of treating a possible ingrown nail, it’s always best to see your podiatrist for evaluation and treatment, particularly if you are an at-risk patient with diabetes or some form of vascular disease.

September 03, 2014
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We treat many diabetics in our practice.  Some who have had the disease for a long time and some who are newly diagnosed.  Taking care of your feet is important for everyone but especially those with diabetes.  Chech out this good reference from the American Diabetes Association (www.diabetes.org) about diabetes and foot complications: