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Interesting Information

Nail Polish or Nail Poison?

10/23/2014

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The immense variety of nail lacquers and polishes make it hard to choose the perfect product! Whether you want to strengthen brittle nails, lengthen short nails, or just add a little color to your fingers and toes – there is a vast arsenal of products in an infinite palate of hues to satisfy every fancy. However, do not be fooled by the seemingly innocent contents of that small, brightly colored bottle. Did you know that the chemicals in nail polish are potentially hazardous for your health?

The dangers of nail polish are directly correlated with the chemicals used in their manufacture. Most nail polishes are chock-full of a variety of harmful substances. The major toxic compounds that you need to watch out for are toluene and dibutyl phthalate.

Toluene is a clear fluid that is a component of many products: gasoline, paints, shoe polish, and even explosives! This compound allows t the nail polish to stay in its liquid form in the bottle and is responsible for the rapid drying of the nail polish when on your nails.  Toluene is bad for your health because it affects your nervous system causing nausea, headaches, and depression. In addition, toluene induces kidney and liver damage as well as eye, nose and throat irritation. It has even been implicated in the development of cancer!

Dibutyl phthalate (DBP) is a chemical that is used as a binder to improve the endurance of nail polish when applied to your nails. This is the substance that allows plastic ware its flexible properties.  Women of child-bearing age are being asked to avoid DBP because it has been linked to cancer in laboratory rats and the disruption of hormone levels in humans. In addition, this compound may play a role in childhood asthma, lasting fertility problems in newborn boys, and liver toxicity.

Besides toluene and DBP, compounds such as ethyl alcohol, formaldehyde, and glycol ethers are potential toxins found in nail polish as well!  Why are these chemicals so bad?

Ethyl alcohol – irritant of mucous membranes and suppresses the activity of the central nervous system.

Formaldehyde – neurotoxin that has produced cancer in certain laboratory rats

Glycol ethers – substance that has been associated with birth defects in animals, lower sperm counts in human males whose mothers were exposed to low levels, and higher than normal rates of miscarriage with increased exposure

Take the time to find a product that is DBP and toluene-free! There’s no point in taking an unnecessary risk just to keep those toes colorful!

If you're using nail polish to hide unsightly nails, come into Beverly Hills Foot and Ankle, P.A. to see how we can work together to solve the issue. Call the office today at (352) 513-4867 to book your appointment! Want to know more about a particular topic or have a suggestion for a blog idea, post your comments right here! 
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Ahh My Legs!! Part 2!

10/17/2014

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Restless Legs Syndrome is a condition where the affected person has the uncontrollable urge to keep their body in motion in order to prevent unpleasant and uncomfortable sensations. Body movement relieves the RLS-affected individual’s symptoms.

What are some causes of Restless Legs Syndrome?
There are several associated factors/conditions that may lead to this neurological disorder.
  • A family history of RLS has been noticed, suggesting that this syndrome has a genetic component. 
  • Individuals with iron-deficiency anemia or other vitamin deficiencies may be at risk of developing RLS.
  • Individuals with unremitting diseases such as peripheral neuropathy, diabetes, kidney failure, and Parkinson’s have a connection with RLS (RLS symptoms may diminish by treating the underlying disease) 
  • In some instances, child-bearing women may feel symptoms of RLS. The abnormal neurological sensations usually occur in the last trimester. In most cases, RLS symptoms fade away around1 month after delivery. 
  • Medications such as anti-nausea drugs, anti-psychotic drugs, anti-seizure drugs, anti-depressant drugs and allergy/cold drugs (Benadryl) may increase RLS symptoms! 
  • Caffeine (found in coffee, teas, soft drinks, and chocolate), alcohol and tobacco may contribute to the increased intensity of symptoms of RLS. 
  • A recent publication in the journal, Neurology, has shown there is an association between belly fat and Restless Legs Syndrome. This new study found that individuals with a body mass index (BMI) of 30 or greater were 42% likely to have symptoms of this neurological disorder than persons with normal BMI (23). 
Unfortunately, a majority of RLS cases have no known cause.

How is this disorder treated?
RLS may be caused by several different factors. As such, several different treatment methods are employed to handle the syndrome.
  • Iron, magnesium, and folate supplements 
  • Decreased use of caffeine, alcohol and tobacco 
  • Normalizing sleep patterns (may be achieved by moderate exercise or hot showers) 
  • Hot baths or leg massages
  • Change in medications (talk to your doctor) 

These remedies may play a role in reducing RLS symptoms and bring about relief, but do not expect them to completely eliminate the abnormal sensations.

If you feel unpleasant tingling, creeping, “pins-and-needles” or tugging sensations on or in your body, especially in the leg area – you should consult your local podiatrist. When discussing your condition, be sure to inform them of all the medications, supplements, and herbal remedies you may be taking as well as your smoking and drinking habits. They will prescribe the right treatment/medications to help reduce and may be eliminate Restless Legs Syndrome! Come to Beverly Hills Foot and Ankle, P.A. for an evaluation. Dr. Nisha Krishnan can help diagnose and treat your problem, call (352) 513-4867 today for an appointment! 

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Ahh! My Legs!! (Part 1)

10/7/2014

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What is Restless Legs Syndrome?
Restless Legs Syndrome (RLS) also known as Wittmaack-Ekbom syndrome is a neurological condition that is characterized by burning, itching, gnawing or creeping sensations of the legs. Some people have even described the feeling as insects crawling up and down the insides of their legs!

Who is affected?
It is thought that 12 million Americans may be plagued with this condition! Although both males and females are affected, it occurs slightly more frequently in women. The disorder can occur at any age – from infants to the elderly. The majority of those affected with RLS lie in the middle-age to geriatric age range. Unfortunately, the intensity of syndrome increases with age. Older individuals experience longer episodes of symptoms with greater frequency.

What are some characteristics of this condition?
The most unusual and distinguishing feature of this disorder is that relaxing or lying down will trigger the symptoms of this condition! If left undiagnosed and untreated, this syndrome will cause sleep deprivation which can lead to exhaustion and fatigue during the day as well as the lack of concentration, reduced memory and the inability to accomplish daily activities.

What are signs and symptoms of Restless Legs Syndrome?
Paresthesias which are irregular sensations and dysesthesias which are unpleasant irregular sensations are indications of RLS. These abnormal feelings usually occur in the leg – between the knee and ankle, deep inside the body. RLS may also occur in the torso, arms, hands, thighs and feet! This condition usually occurs bilaterally (on both sides of the body), but in some cases only one side of the body may be affected.

The way to relieve these abnormal sensations is by continued movement – so people with RLS usually keep their legs in constant motion to prevent the uncomfortable feelings from arising. A person with RLS will pace around, toss and turn in bed and shift their legs continuously while seated.


Individuals with RLS usually find that the symptoms of the syndrome are less obvious during the day and more definite in the evening hours. This condition may be brought about by stillness, immobility, or inactivity such as sitting in a theater, airplane, or car seat for extended periods of time.


If you liked this blog, please “Like!” it! Stay tuned for Part 2 of “Ahh! My Legs!” Please call Beverly Hills Foot and Ankle, P.A., today if you need a foot, ankle or lower leg specialist! Dr. Nisha Krishnan would love to discuss your condition and treatment options! Contact us at (352) 513-4867!

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"Growing Pains!"

9/28/2014

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With fall upon us and harvest time approaching, thoughts of gardening and yard work come to mind. Whether picking out pumpkins from the patch or raking those autumn leaves, this new season ushers in new types of outdoor activities! 

When foot or leg pain strikes, the first idea that comes to mind when determining its cause is asking about recent strenuous activity such as running, swimming, skiing or other high-motion sport. However, did you ever stop to think that under-the-radar activities can contribute to or be the source of lower extremity pain? Gardening is a commonly overlooked activity that requires the manipulation of the body to bend, crouch, and kneel and involves the movement of the foot, leg, thigh, and back! With the advent of the autumn season – many gardeners are probably feeling the effects of their seasonal toil!

Gardening is a labor-intensive, weight-bearing hobby and like any strenuous activity, should involve warm-up and adequate protection. Your feet play a variety of roles when it comes to the body: they are essential for mobility, help with preserving balance, bear the full body weight and act as shock absorbers. Gardening requires all the above foot functions when it comes to bending and kneeling to plant seeds, crouching and squatting to weed, AND standing to mulch, fertilize and water your vegetation. Gardening and harvesting are intense exercises, especially when coupled with the sun and the repetitive lifting of various tools such as shovels and hoses. You will burn some serious calories!

What can you do to make sure that you have a comfortable, pain-free gardening experience?
  1. Stretch your feet and body completely before starting to garden
  2. Wear socks made of a cotton/lycra blend - they work to wick sweat off your feet and keep your feet from rubbing inside your shoes
  3. Choose to wear loose-fitting socks – this allows blood flow to your feet without restriction 
  4. Buy gardening shoes or boots with rubber soles for shock absorption – this reduces the risk of heel bruising when walking on stones or undergrowth  
  5. Ensure that your gardening shoes are close-toed and have a deep, round toe box – this will prevent the formation of corns and bunions, ingrown toenails and blisters
  6. Use a gardening pad to cushion your knees when kneeling 
  7. Thoroughly wash and dry your feet after gardening and carefully inspect them for red, swollen or inflamed areas 

Talk to your podiatrist about the best way to approach gardening – they will show you the correct way to stretch your muscles to prevent aches and pains.  If you happen to find a problem after gardening, your podiatrist will take the right measures to treat your problem and make recommendations for preventing its reoccurrence! Visit Beverly Hills Foot and Ankle, P.A. today to talk about your "growing pains" with Dr. Nisha Krishnan! 


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Treat Your Sole!

9/23/2014

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When it comes to feeling sore and tired all over, you can bet that your feet have a lot of sway! By paying a little attention to your feet, you can promote relaxation and wellness! 

How about a little yoga that deals with foot positioning and lower body strengthening? Try these exercises below to rejuvenate your entire body!

Virasana
Hero Pose

What does it do? Stretches thighs and ankles, improves posture 
How do I do it?

  • Start on the floor in a kneeling position
  • Keep your knees together as you separate your feet, so that you are not sitting on your feet but in between them
  • Make sure your feet are facing straight behind you and are not turning inward or outward.
  • Be careful not to strain your knees!
  • Fine-tune your pose: Gaze at tip of your nose, keep your back straight, place your hands on your lap or thighs, keep your abs tight and remember to take deep breaths! 

Adho Mukha Svanasana
Downward Facing Dog Pose
What does it do? Stretches the entire body and with practice, you can stretch/strengthen your Achilles tendon. 

How do I do it? 
  • Come to your hands and knees with the wrists underneath the shoulders and the knees underneath the hips.
  • Curl the toes under and push back raising the hips and straightening the legs.
  • Spread the fingers and ground down from the forearms into the fingertips.
  • Outwardly rotate the upper arms broadening the collarbones.
  • Let the head hang, move the shoulder blades away from the ears towards the hips.
  • Engage the quadriceps strongly to take the weight off the arms, making this a resting pose.
  •  Rotate the thighs inward, keep the tail high and sink your heels towards the floor.
  • Check that the distance between your hands and feet is correct by coming forward to plank position. The distance between the hands and feet should be the same in these two poses. Do NOT step the feet toward the hands in Down Dog in order the get heels to the floor. This will happen eventually as the muscles lengthen!
  • Fine-tune your pose: Keep your fingers pointed forward, look towards your navel, point your tailbone straight up, place your feet wide apart, press your heels to the floor and breathe deeply! 

Baddha Konsana
Cobbler Pose
What does it do? Helps relieve pain due to sciatica, improves lower body flexibility. 
How do I do it?
  • Bend your knees and bring the soles of your feet together. Make sure to let your knees fall out to either side.
  • Draw your feet in as close to your body as is comfortable for you. If you feel pain in your knees, ease it off. 
  • Press the outer edges of your feet together strongly
  • Fine-tune your pose: Keep your head, neck and back straight and focus on your breathing. 

If you decide a massage is more your style, follow these effective massage tips to ensure you pamper your feet and achieve total-body relaxation! 
  1. Cleanse your feet using warm water and an aromatic, non-drying soap.
  2. Apply oil or cream-based moisturizer to your feet using thumbs and fingers with light-to-medium stroking movement
  3. Using your thumbs, start making small, circular motions at the ball of your foot and proceed down and across the entire foot. 
  4. Increase the pressure exerted by your thumbs to make long, deep strokes along the arches of the foot ending in the direction of your toes. 
  5. Next, focus on your toes by gently squeezing, rotating and pulling each toe.
  6. Finally, cup your foot between both hands and gently squeeze up and down the length of each foot. 

Yoga and massage, like exercise, helps to stimulate blood circulation. Do these movements in front of the T.V. or take a 5-minute break from work to pause and stretch. The human body is meant to move, so move it! By toning and strengthening your muscles, you are taking active steps in managing your health! If you have any questions on how to do these exercises, post them on the blog or come into the office for an appointment! Call Dr. Krishnan at Beverly Hills Foot and Ankle, P.A. today!

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1: Hero Pose 2: Downward Facing Dog Pose 3: Cobbler Pose
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Yoga for the Mind, Yoga for the Soul, Yoga for the Foot!

9/15/2014

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Think about all that our feet do for us – they help us move, assist in shock absorption, balance our bodies and support our body weight. What does this mean to us spiritually? In the whole-body sense, have you ever thought about the impact of your feet upon your mind, body and soul?

In the spiritual sense, our feet connect us to the Earth and are our very foundation. They mirror our bodies and reflect our health and our ailments. Think about how relaxed you feel after a foot massage or after a warm foot soak!  When your feet are taut and tight, your entire body is simultaneously engulfed in tension. Many circulatory, musculoskeletal and neurological diseases such as diabetes and arthritis first manifest themselves in the feet!

These facts compose a small fraction of the reasoning behind foot yoga. Yoga for the body enhances well-being and positive energy flow throughout the body and as does yoga for the feet! There are a series of exercises you can do to encourage the well-being of your feet! (Full descriptors of the exercises will come in the next blog!) 

Virasana
Hero Pose
This important pose stretches the top of the foot and ankle and tones the sole of the foot at the same time. It is very therapeutic for flat feet as strengthening the muscles in the feet helps recreate the arches. 

Adho Mukha Svanasana

Downward Facing Dog Pose
This well-known pose involves your entire lower extremity. As your aches lift, your feet muscles work and stretch the soles of your feet.

Baddha Konsana
Cobbler Pose
The Baddha Konasana pose involves pressing the four corners of the feet together and drawing the toes away from each other. The foot muscles are strengthened and the arches activated.

If you find these exercises too difficult, there are simple movements that you can do to still reap the same benefits!
  • Slow moving ankle circles in the clockwise and counter-clockwise directions  while sitting will keep your foot and ankle mobile and strengthen the muscles in those areas
  • Pick up marbles with your toes to increase the muscle strength of foot muscles especially those of the toes
  • Roll a tennis ball across the entire bottom surface of your foot to relieve tension in your feet by accessing pressure points 

Try the different maneuvers to keep your feet healthy and happy which will in turn keep you healthy and happy! Enroll into a yoga class to help you achieve harmony with your mind, soul and body – especially with your feet! Low impact activities such as yoga will help promote overall well-being! 

Still feeling the effects of wear and tear on your feet? Still having ankle pain? Come visit Dr. Nisha Krishnan at Beverly Hills Foot and Ankle, P.A. for an evaluation today! Call us at (352) 513-4867! 

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Stinkin' Feet!

9/10/2014

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Everyone has experienced the odor of shoe-confined, sweat-ridden feet! It is a phenomenon that either has occurred to you or to someone around you… and that unpleasant scent has traveled to your nose. Intense foot odor, also known as bromohidrosis, is a problem that millions of people experience every day!

Why does bromohidrosis happen?
Bromohidrosis is primarily caused by wet, sweaty feet that find themselves confined in close-toed shoe wear. The feet have the most sweat glands out of any other part of the body, almost 500,000 glands all together! Unfortunately, when feet are enclosed in shoes – the sweat has nowhere to evaporate and thus stays on your feet and in your shoes! The warm temperatures and the moisture due to perspiration create an optimal environment for bacterial growth. Bromohidrosis is essentially the metabolic product isovaleric acid caused by the thriving bacteria in your shoes.

What causes sweaty feet?
The condition of excessively sweaty feet is termed hyperhidrosis and is fundamental cause of foot odor. This disorder affects approximately 1% of the population. Other causes for more than normal perspiration leading to bromohidrosis are stress, hormonal changes and even some drugs. 

Is bromohidrosis dangerous?
Although bromohidrosis is uncomfortable and embarrassing, this foot condition is not a health hazard. However, bromohidrosis is a condition that should alert you that your feet and shoes are now home to plenty of bacteria. If not prevented or treated, toenail and skin fungus may follow your sweaty predicament. Fungus also grows in the same type of environment as bacteria: dark, wet and warm. If you have a nail laceration or rupture in the skin, the organisms may find their way into your toe and spread in the area.

What are ways to prevent smelly feet?
-       Wear cotton or wool socks instead of those made of synthetic materials (like acrylic) as cotton 

        and wool will help absorb moisture and allow your feet to breathe 
-       Change your socks often, at least once a day to keep bacteria from taking hold
-       Wear open-toed shoes or minimize the wear of close-toed shoes
-       Practice good foot hygiene and shower regularly
-       Dry your feet thoroughly after washing them (especially between toes) and keep your feet dry
-       Dust your feet with foot powder (like talcum) to discourage sweating
-       Air out your shoes in natural sunlight 

What treatment options are available for bromohidrosis?
These options should be considered after you have tried preventing the condition. Consult your podiatrist about your problem and they may recommend stronger alternatives. Treatments may involve aluminum chloride hexahydrate 20% solution, electric current devices used to diminish sweating, or surgical intervention which involves cutting the nerve responsible for perspiration. Your medical professional will know the appropriate course of action for you and help you control this unpleasant problem!

Come into Beverly Hills Foot and Ankle, P.A. today to see how Dr. Nisha Krishnan can help you with your feet problems! Together, we'll find a treatment option that works for you!
Call us at (352) 513-4867! 

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Anatomy of a Shoe! [Part 2!]

9/3/2014

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Everything you possibly wanted to know about shoes, and... a bit more!

All the different components of athletic shoes should work together to keep the foot protected, balanced, and optimized in performance. Athletic shoes of various sports have variations of the anatomical characteristics listed above to enhance performance of the foot.

Refer to the diagram in the previous blog post to help you learn the terms and their functions in regards to their placement on the shoe!

Upper – the entire portion of the shoe that covers the foot
Sole – the entire portion of the shoe that the foot rests upon
           Shoe upper + Shoe sole = entire shoe
Toe box – the horizontal and vertical space near the tip of the shoe to accommodate the toes, comes in different shapes
Vamp – the upper, middle section of the shoe were the laces are located – Velcro fasteners may also be found in the vamp section
Laces – one of the common closure types of shoes (Velcro is another one) – the purpose of laces is to anchor the shoe firmly onto the middle portion of your foot
Eyelets – a round cutout in the vamp section of the shoe to allow the passage of laces, the resistant material that encircles the eyelet is called the eyestay
Tongue – a thick flap of material that sits underneath the laces to protect the top of the foot from pressure of the laces
Top line – the top edge of the upper portion of the shoe
Achilles notch – always found at the back of the shoe, this notch keeps the Achilles tendon from encounter irritation from the shoe
Heel counter – stiff material employed to reinforce the shape of the back portion of the shoe, helps with shoe fit and shoe stability
Outsole – the outsole is the portion of the shoe that directly contacts the ground
Quarter – the portion of the shoe that covers the heel and connects it to the vamp

            Athletic shoes for different sports and recreational activities have modifications of the characteristics listed above to help enhance the wearer’s performance and to protect the wearer’s feet. For example, basketball shoes have a much higher top line (hi-top shoes) to help keep the ankle in place and reduce the incidence of ankle sprains. Soccer and football cleats have large studs on the bottom of the sole (connected to the outsole) to provide traction on the playing surface. So next time you’re in a shoe store with a friend, impress them with your knowledge of shoe anatomy.

Beverly Hills Foot and Ankle, P.A. and Dr. Nisha Krishnan thank you for taking the time to read our blog! We welcome you to call us for an appointment today at (352) 513-4867!


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Anatomy of... a Shoe? Who Knew!? [Part 1]

8/28/2014

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Within every profession, there are descriptive terms to specify characteristics or locations of features on an item. For a botanist, the anatomy of a plant is crucial in determining how a plant functions and plays an important role in how it reacts to its environment. For the musician, each instrument has their own sound and frequency as dictated by its anatomy – all the parts work together! For many healthcare professionals and patients, it makes sense that the human body has its own anatomy – there’s a name for every bone, joint, ligament, tendon, organ and blood vessel. And even those structures have structures on or within them that are named or classified. Each area of study has its own focus and that focus is very detailed. 

In regards to biomechanics of the foot, a podiatrist/foot and ankle specialist must be knowledgeable of all the structures and the geography within the foot. In addition, the anatomy of footwear is also important to know. It helps the clinician evaluate the footwear and deem it worthy or unworthy of your feet. Check out the diagram that highlights the structures in a typical tennis shoe. Shoe designers and shoe manufacturers must also have an expert handling of shoe terms because they work with its creation on a day-to-day basis.

For a shoe to work, all the components must be secure, comfortable and work together in harmony. Different shoes have different functions or combinations of functions: arch support, shock absorption, balance, traction and ambulation. In addition, athletic shoes designed specifically for a sport all have properties that help the activist excel in that sport.

Take a look at a typical athletic shoe and compare it to the diagram with various parts labeled. Descriptors of the terms will follow in the next article. How many of these features do you see on them? With a little time, you too can be familiar with all the components of a tennis shoe and their functions! Who knew that even tennis shoes had such a specific anatomy!?

Come into Beverly Hills Foot and Ankle, P.A. today! Dr. Nisha Krishnan will devise a a treatment strategy specific for your feet! Call us at (352) 513-4867! 


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"Ankles Are Also Cool! They Hold My Feet On!"

8/21/2014

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So what is Podiatric Medicine? To what does the field of Podiatry pertain? 

While the scope of practice in this field of medicine varies from state to state, Podiatrists or Foot and Ankle Specialists in Florida are licensed to do procedures on the foot, ankle and lower leg (below-the-knee). Many people equate Podiatry to feet and feet only! However, ankles and the lower leg are also part of our daily practice. The foot, ankle and lower leg is a rather extensive complex. With an enormous number of muscles, tendons, nerves, blood vessels, bones and ligaments - the pedal structure of the human is definitely a marvel!

Here are some foot, ankle and leg facts for you to jump all over:
  1. The human foot has 33 joints, 107 ligaments, 19 muscles/tendons and 125,000 sweat glands! 
  2. Did you know that 1/4 of all the bones in your body reside in your feet?! 
    With approximately 28 bones (including the sesamoids) in each foot x 2 = 56 and there being 206 bones in your body, it is amazing to think that your feet compose 25% of your body's bone structure!
  3. When comparing fingernails and toenails, toenails grow MUCH more slowly. While fingernails grow 0.1 mm/day = 1 mm in 10 days, toenails grow at a rate of 1 mm in 1 month! 
  4. The largest tendon in your body connects your heel bone to the back of your leg, it's called the Achilles tendon! 
  5. The thickest skin on your body is found on the soles of your feet!
  6. The average person will walk around 115,000 miles in a life time, that's equivalent to walking around the Earth over 4 times!

Now, besides spouting off foot facts, how can a Foot and Ankle Specialist be of assistance to you? 

In terms of foot health, your Podiatrist is well-versed in foot ailments that may mirror serious medical problems. The first sign of many systemic diseases may manifest in the feet such as diabetes, osteoarthritis, nerve disorders and circulatory problems. 

During daily activities like standing, walking or even running - all ground forces are transferred from your foot --> ankle --> knee --> hip --> spine --> neck --> head. The slightest injury or pain in your foot is greatly amplified as it distributed through the rest of your body. Any misalignment in the foot and ankle off-balances the other joints in your body so it is extremely important to find the root cause so the rest of your body stays in sync!


Take the time to care for you feet, your entire body will thank you!
Come to Beverly Hills Foot and Ankle, P.A. to see how Dr. Krishnan can help you!


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    About the Author 
    Dr. Nisha Krishnan is the President of Beverly Hills Foot and Ankle, P.A. She specializes in Podiatric Medicine and Surgery and offers a full-range of foot, ankle and lower leg services.

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Beverly Hills Foot and Ankle, P.A.
Dr. Nisha Krishnan
3404 North Lecanto Highway, Suite A
Beverly Hills, FL 34465
Phone: (352) 513-4867
Fax: (888) 314-9873

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