Fighting Flat Feet
Irene, 29, has suffered from painful flat feet her entire life. When she went to see podiatrist Dr. Ali Sadrieh about her feet, she learned that the problem may be hereditary, and is now worried her 10-year-old daughter Emily will endure the same fate with her own feet.
“I wanted to have my daughter checked out, and it turns out her foot is just as bad as my own,” Irene says.
Flat feet occur when the arch on the inside of your feet collapses. They can cause a flat look to your feet, lower leg, ankle, and back pain, arthritis, hammer toe, bunions, and swelling. They also cause over-pronation because the ankle and foot excessively roll inward. To correct the problem, pain-relieving medicine, custom arch and foot supports, and surgery are available.
While many pediatricians feel children will grow out of their flat feet, Dr. Sadrieh disagrees. “She’s not going to grow out of it,” he says. “She’s going to grow into it.”
To prevent Emily from suffering similar foot pains in the future, Irene decides to allow her daughter to go under the knife. Dr. Sadrieh explains that a small implant will be placed below the ankle, keeping the foot from collapsing. “We’re kind of tricking the foot,” Dr. Sadrieh says. “It’s very similar to when you plant a tree, a little sapling, it’s very flimsy. You put a stick by it, you tie it, the tree grows and gets solid enough and strong enough so you can remove the stick.
“The beauty of this procedure is that we’re not really changing her foot, we’re not cutting her bones, we’re not cutting her ligaments,” Dr. Sadrieh adds. “We’re putting this little implant inside an already-existing space, which is just fat, and it holds her foot in the correct position.
“The key to this procedure on someone like Emily, and the reason I told Irene to bring her in at a young age, is because we want to impress the bones to grow correctly,” Dr. Sadrieh says.
Treating a Wound
Have you ever cut yourself and wondered if you needed to go to the emergency room? Dr. Travis offers his tips on what to do in case of a cut.
• Apply direct pressure to the wound to stop the bleeding.
• After you stop the bleeding, clean the wound out. “So many people are afraid. They look at a wound and they just want to hide it,” Dr. Travis says. “But you’ve got to get the debris and the dirt out of it because infection is what we really worry about.”
• If the bleeding does not stop after 10 minutes of direct pressure, see a doctor or go to the E.R.
• If a wound is closed within eight hours, you will see a better cosmetic result. To close the wound, doctors will decide between using sutures, staples or glue. “So try to go [to the doctor] sooner rather than later,” Dr. Travis says. “But if you are in the E.R. and have to wait a few hours, trust me, your wound will heal just fine.”
Eyelid Lift to Look Younger
Do drooping eyelids and bags under your eyes cause you to look tired and run down? This affects men and women alike, but there is a way to look younger and refreshed.
“That is the part of your face that shows emotion, that shows what’s going on inside, but for men it’s so important not to feminize and not to lose character in the expression,” Dr. Ordon says.
Bob, 61, is frustrated with the sagging skin around his eyes and decides to have an eyelid lift surgery to correct his problem. “I’d say in the last 10 years, my practice has shifted from being about 10 to 15 percent men to maybe 25 to 30 percent men,” ophthalmic plastic surgeon Dr. Guy G. Massry says.
The procedure, also known as blepharoplasty, improves the sagging look of the upper and/or lower eyelids by removing or repositioning excess skin or fat around the eye and tightening the muscles if needed.
Despite bruising around the eyes after the procedure, Bob says he feels great. “It looks a lot worse than it actually is,” he says. “It looks painful, but I was not in pain.”
Michelle, 44 from Farmington Hills, Michigan asks The Doctors through Redbook magazine if it is common to develop hemorrhoids as you age, and what are the best ways to prevent them.
Hemorrhoids are swollen and inflamed veins in the anus region. They can develop into internal or external hemorrhoids, with the external ones often causing extreme pain. Hemorrhoids are related to age, but can develop in children, because they are caused by pressure and straining during bowel movements, obesity, anal intercourse, pregnancy and sitting for long periods of time on the toilet. “Guys, don’t read the sports page while you’re there!” Dr. Ordon says.
Symptoms include pain, itching or discomfort, swelling around the anus, painless bleeding during bowel movements and leakage of feces. “If you’re having bleeding, it might be a hemorrhoid, but it also could be colon cancer,” Dr. Jim says. “You’ve got to get it checked out.”
Over-the-counter creams, ointments and pads are available to treat hemorrhoids, as well as a number of minimally-invasive procedures. To prevent hemorrhoids, use moist or wet toilet paper instead of the dry variety, and keep the anal area clean.