Biglerville Foot & Ankle Center
717-677-9288

West Shore Foot & Ankle Center
717-458-5611

Londonderry Foot & Ankle Center
717-652-5811

Paxtonia Foot & Ankle Center
717-541-0988

As we kickoff the unofficial start of summer be aware of skin cancer and yes, even skin cancer of the feet!  Skin cancer can develop anywhere on the body, including in the feet and legs. Skin cancers of the feet have several features in common. Very often there will be no pain and often there is some recurrent scaling, or bleeding or ulceration. 

The causes of these cancers can be attributed to sun exposure, viruses, or chronic inflammation. And since our feet are often ignored in a routine medical examination, these lesions are often missed.  Some of the types of skin cancers include those that every one has heard of: 1. Basal Cell Carcinoma, which most often occurs on sun exposed areas, looks like nothing more than a persistent open sore, and is the least aggressive; 2. Squamous Cell Carcinoma, which is the most common cancer of the skin of the feet, is usually not aggressive but is known to spread throughout the body. This may be painless or itchy, or resemble a plantar wart or any other common skin condition.  3. Malignant Melanoma: Malignant melanoma is one of the deadliest skin cancers known.  This type of skin cancer must be detected very early to ensure patient survival. Melanomas can occur anywhere on feet and even  beneath a toenail.  As a melanoma grows and extends deeper into the skin, it becomes more serious and may spread through the body. It may begin as a small brown-black spot or bump or even appear pink or red. These tumors may resemble common moles; however, close inspection will usually demonstrate asymmetry, irregular borders, alterations in color, and/or a diameter greater than 6 mm.  Melanomas may resemble benign moles, blood blisters, ingrown nails, plantar warts, ulcers caused by poor circulation, foreign bodies, or bruises. 

Learn the ABCDs of melanoma. If you notice a mole, bump, or patch on the skin that meets any of the following criteria, see a podiatrist immediately:

  • Asymmetry - If the lesion is divided in half, the sides don't match.

  • Borders - Borders look scalloped, uneven, or ragged.

  • Color - There may be more than one color. These colors may have an uneven distribution.

  • Diameter – The lesion is wider than a pencil eraser (greater than 6 mm).

    To detect other types of skin cancer, look for spontaneous ulcers and non-healing sores, bumps that crack or bleed, nodules with rolled or “donut-shaped” edges, or scaly areas.

    If you are suspicious of any unusual looking area on your feet, visit your podiatrist, dermatologist or primary care physician. As always, prevention of skin cancer on the feet and ankles is similar to any other body part. Limit sun exposure, and make sure to apply appropriate sunscreen when you are outdoors and your feet and ankles are exposed.

     

10 reasons why you should never wear flip flops.......Paraphased from the American Podiatric Medical Association News Brief

As the weather warms up, it's hard to resist the urge to break out the truest sign of summer: flip-flops.  Here's why you should reserve your flip-flops only for the beach, pool, spa, and shared showers, according to Dr. Jackie Sutera, DPM, a podiatrist and spokesperson for the American Podiatric Medical Association.

1. They expose your feet to bacteria, viral, and fungal infections. With wearing of flip flops, your feet get particularly filthy and they're likely covered in some nasty things likes Staphylococcus, or Streptococcus  or worse.  Athletes foot fungus and the virus that causes warts also find your feet a lovely place to reside.

2. They slow you down. An Auburn University study found that flip-flop wearers take smaller steps than people who wear sneakers.

3. They make you extra clumsy. Those short strides you take when you wear flip-flops? They increase your risk of tripping (or being trampled in a crowd).

4. They destroy your heels. Because your heels hit the ground with more force when there's nothing but a thin piece of foam separating your foot from the ground, walking in flip-flops accentuates the heel-strike impact, which could end up causing pain — especially if you stand or walk in them for extended periods of time.

5. They can cause blisters. When a thin strap between your 1st and 2nd toe is the only thing that holds your shoe on, that strap rubs up against your skin every time you take a step. This can cause irritation and blisters. When blisters pop, you're left with an open wound that makes you more vulnerable to the germs you pick up anytime your foot is exposed.

6. They can permanently damage your toes.  When you wear flip-flops, your toes need to work extra hard to grip the shoe and keep it on your foot, which can cause hammertoes over time (when the knuckles of your toes stick up). If you want to avoid stiffness, pain, and potentially, surgery, stick with  sandals with a thick strap at the midfoot, and one that goes behind your ankle.

7. They mess with your posture. Any super-flat shoe that doesn't bend like your foot does when you walk barefoot alters your biomechanics and can affect your  posture.

8. They can cause shooting pains. People with flat feet need arch support to keep their knees, hips, and back aligned. In a flat shoe, there's none of that, so your joints have to compensate. This can cause overuse injuries all the way up, including Achilles tendonitis, plantar heel pain, and pinched nerves in the back.

9. They can aggravate bunions. Because your toes have to work so hard to keep flip-flops on your feet, over-gripping can aggravate people with unsightly and painful bunions, a bump at the big toe joint. Not good.

10. They could be made of toxic materials. Plastic straps may be made of latex, which many people are allergic to, or plastic that contains BPA, a toxin linked to various cancers. Do you really want your toes to get all up in that? Opt for sandals with fabric or leather straps, because natural materials tend to be safer.

Still feel like such a flip-flop day? (Didn't think so.)

On August 1 2014, the Dillsburg Foot and Ankle Center will be relocating to the Rossmoyne Rd Exit off route 15 and will be re-named the West Shore Foot and Ankle Center.  Our new address will be 5001 Louise Dr suite 104, Mechanicsburg Pa 17055.This is a first floor suite with access from both sides of the building.  This will be a very positive move for us and we look forward to serving our patients in this new location, we will only be 10 minutes from our current location in Dillsburg. After our move our existing phone numbers will work as you try to contact us at that location, we will have new phone numbers which will be listed on our website as soon as they are assigned to us.   A  picture of our new location will be posted on or about August 1.   

June 06, 2014
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The doctors and Staff of Keystone Podiatric Medical Associates would like to give special recognition to the brave soldiers who so valiantly stormed the beaches of Normandy 70 years ago today.  Their bravery and sacrifice will always be remembered.  They did the unthinkable so that we would remain free.  This freedom was not FREE and it came at great cost.  We owe them a debt that we can never repay and we must NEVER forget the price that was paid for us to be free.  

For many, spring and summer mean it’s time for a vacation.  Long car or plane rides, however, can trigger a serious condition known as Deep Vein Thrombosis (DVT).  DVT is a condition in which a blood clot (a blockage) forms in veins located deep within the leg or the thigh.  If the clot breaks loose and travels through the bloodstream, it can lodge itself in the lung, causing a pulmonary embolism (PE) that can make it difficult to breathe and may even cause death.  Some people are more at risk than others for developing DVT.  Risk factors include varicose veins, blood clotting disorders, pregnancy or recent childbirth, obesity, tobacco use, and heart disease.  People over 40 years old, those who have had recent surgery, or those who are immobile through inactivity or wearing a cast are also more at risk for DVT.  Although a DVT can be asymptomatic, don’t ignore the warning signs of leg pain, swelling, or heat.  Recognizing these warning signs can save you life!

People with DVT in the leg may have little to no symptoms. Cwith DVT in the leg may have little to no symptoms. If you are at risk for DVT and plan on taking a long trip this season, follow these tips to reduce the likelihood of developing a blood clot:

  • Exercise legs every two to three hours to get the blood flowing back to the heart. Walk up and down the aisle of a plane or train, rotate ankles while sitting, and take regular breaks on road trips.
  • Stay hydrated by drinking plenty of fluids; avoid caffeine and alcohol.
  •  Consider wearing compression stockings 




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6100 Old Jonestown Rd.
Harrisburg, PA 17112

Podiatrist - Harrisburg, Keystone Podiatric Medical Associates, 6100 Old Jonestown Rd., Harrisburg PA, 17112 717-541-0988