In mybook®: Health
ArthritisRheumatoid arthritis is a major crippling disorder and the most serious form of arthritis. It is a complex, chronic inflammatory group of diseases, often affecting more than a dozen smaller joints during its course. In the foot, it frequently affects both ankles and toes.
Plantar FasciitisPlantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.
RheumatologyDr. Tarick Abdo was born and raised in Valparaiso, IN. He completed his undergraduate degree in Biology at Indiana University. He then moved to Cleveland OH where he obtained his Doctor of Podiatric Medicine degree at the Ohio College of Podiatric Medicine. At the Cleveland Clinic Foundation, Dr. Abdo performed a primary podiatric medicine residency where he was able to do rotations in the fields of Rheumatology, Endocrinology, Vascular Medicine, Podiatric Medicine, and Internal Medicine. Dr. Abdo received his 2-year surgical training in Baltimore, MD at Greater Baltimore Medical Center where he worked with Podiatric Surgeons, Orthopedic Surgeons Plastic Surgeons, and Vascular Surgeons. As a resident, he received a Research Award for his work on Limb Salvage in a Diabetic Population. Following his residency, he wanted to come back to Indiana and has been in practice now since 2003. His interests include Reconstructive Foot and Ankle Surgery, Limb Salvage, and Sports Medicine. He sees patients at the Methodist Tower on Tuesday and Thursdays. In addition, he sees patients at the Methodist East location on Monday and Fridays. Dr. Abdo was recently certified to perform total ankle replacement surgery with the FDA approved STAR implant device. He has given talks to the Residents at Indiana University School of Medicine on Complications of the Diabetic Foot. In addition, he has done foot evaluations at the annual Diabetic Walk, LA fitness center, and Rolls Royce Wellness Fair. When he is not busy at work, Dr. Abdo enjoys spending time with his family.
UltrasoundStretching and exercises to strengthen the weak muscle group in front of the leg, calf, and the upward foot flexors, as well as massage and ultrasound.
ArthroscopySurgical treatment is a more invasive way to remove, reshape and sometimes replace worn out joint surfaces. One example of ”cleaning out” a joint is with the use of Ankle Arthroscopy. This is a minimally invasive procedure that uses small incisions and a camera to look inside the joint. During arthroscopy inflamed tissue, loose bodies, and bone spurs can be removed. In more advance arthritic joints, the remainder of the joint surface is removed and is fused together in a more optimal position. Fusing a joint is not as scary as it sounds. The goal of a fusion is to eliminate the painful motion within a joint that no longer works correctly. Some patients may also be candidates for total ankle replacement that will maintain the motion and eliminate the pain.
Wound CareDr. Glynn is a South Dakota native who attended the University of South Dakota. She moved to Chicago, Illinois to attend Scholl College of Podiatric Medicine. She completed her surgical residency training at Trinity Regional Hospital in Fort Dodge, Iowa. Dr. Glynn joined Podiatry Associates of Indiana in 1998. She is board certified by the American Board of Podiatric Surgery and the American College of Foot and Ankle Surgeons. She is also a certified wound care specialist.
Ankle SurgeryOriginally from New York state, Dr. Karl Raynor studied podiatric medicine and surgery at Ohio College of Podiatric Medicine. He continued his podiatric training by completing a surgical residency at Vencor Highlands hospital in Denver, CO. He met his wife Sandra at Hamilton College, where they attended podiatry school together. They entered private practice together in Indianapolis in 1986. It is with a heavy heart that we announce Dr. Karl J Raynor, co-founder of Podiatry Associates of Indiana, passed away May 21, 2012. One word that best describes Dr. Raynor - “Dr. Karl” to many - is devoted. As a physician, he was devoted to the health and well-being of his patients, to the practice of podiatric medicine and to the betterment of his community. As an educator, he was devoted to teaching advances in techniques in foot and ankle surgery. As an avid cyclist, he devoted countless hours to training and co-founded a local cycling group. Most importantly, as a family man, he was a devoted husband and father. His death will have far-reaching effects, as he has been a pillar of the Indianapolis community for over twenty years and he will be missed by many. Although the physicians and staff of Podiatry Associates of Indiana will feel his absence greatly, we will continue to operate with the same integrity and professionalism that Dr.’s Karl and Sandra Raynor have instilled in this practice since 1986.
Bunion SurgeryDepending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a
BunionsBunions are misaligned big toe joints that can become swollen and tender, causing the first joint of the big toe to slant outward, and the second joint to angle toward the other toes. Read More...
ArthroscopyThroughout his residency, Dr. Howard was involved in numerous research projects and presentations leading to publication in peer review journals and presentation at National Foot & Ankle seminars. He is extensively trained in all aspects of foot and ankle surgery with a strong focus and interest in ankle arthroscopy as well as rearfoot and ankle reconstruction.
Ingrown ToenailsOnychocryptosis, is usually caused by trimming toenails too short, particularly on the sides of the big toes. They may also be caused by shoe pressure (from shoes that are too tight or short), injury, fungus infection, heredity, or poor foot structure. Ingrown toenails occur when the corners or sides of the toenail dig into the skin, often causing infection. A common ailment, ingrown toenails can be painful. Ingrown toenails start out hard, swollen, and tender. Left untreated, they may become sore, red, and infected and the skin may start to grow over the ingrown toenail.
Hip ReplacementYou may have read Dr. Coker’s blog in October regarding post-traumatic arthritis and noticed she mentioned the idea that joints can be fused or sometimes replaced. You may even have had a knee or hip replacement already and were wondering if your ankle may need something too, as it no longer works like it used to.
Reconstructive SurgeryDr. Amanda Vujovich is from Goshen Indiana and received her undergraduate bachelors degree from Indiana University of Bloomington. She graduated from Dr. William M. Scholl College of Podiatric Medicine and completed her residency at Mercy Hospital and Medical Center in Chicago IL. There she was trained in all aspects of the forefoot, rearfoot and ankle including trauma and reconstructive surgery. Dr. Vujovich is an active member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association. In her spare time she enjoys spending time with her husband John and cockapoo Maelee. Dr. Vujovich is excited to be back home in the Hoosier state.
Achilles TendonitisThe Achilles tendon is the largest tendon in the human body and can withstand forces of 1,000 pounds or more. It also is the most frequently ruptured tendon, usually as a result of a sports injury. Both professional and weekend athletes may suffer from Achilles tendonitis, a common overuse injury and inflammation of the tendon.
Ankle SprainChronic lateral ankle pain is recurring or chronic pain on the outside part of the ankle that often develops after an injury such as a sprained ankle.
Bunions ProblemsMany people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or
Diabetic Foot Care
General PodiatryThe greatest compliment we receive as physicians is our patients' referrals to their family and friends. Below are some of the kind words our patients have shared with us about their experience at Podiatry Associates of Indiana.
HammertoesHammertoe is a deformity of the second, third or fourth toes. In this condition, the toe is bent at the middle joint, resembling a hammer. Left untreated, hammertoes can become inflexible and require surgery. Read More...
Heel SpursHeel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.
Ingrown ToenailsIn most cases, treating ingrown toenails is simple: soak the foot in warm, soapy water several times each day. Avoid wearing tight shoes or socks. Antibiotics are sometimes prescribed if an infection is present. Note: Please consult your physician before taking any medications. In severe cases, if an acute infection occurs, surgical removal of part of the ingrown toenail may be needed. Known as
Foot NeuromaMorton's neuroma is a thickening of tissues around the nerve that leads to the toes. Morton's neuroma usually develops between the third and fourth toes in response to irritation, such as that caused by wearing high-heeled or narrow shoes, or from trauma. Symptoms may include a burning pain that radiates from the ball of the foot to the toes or numbness in the toes. Conservative treatments usually resolve the pain or progressions of the condition, and range from wearing roomier, lower-heeled footwear or using orthotics to reduce the pressure on the nerve, to injections of corticosteroid medication to reduce swelling and inflammation.
Foot WartsVerrucas, appear on the soles of the feet and are one of several soft tissue conditions that can be quite painful. Unlike other foot warts, plantar warts tend to be hard and flat, with a rough surface and well-defined boundaries. They are often gray or brown (but the color may vary), with a center that appears as one or more pinpoints of black. Plantar warts are often contracted by walking barefoot on dirty surfaces or littered ground. The virus that causes plantar warts thrives in warm, moist environments, making infection a common occurrence in public pools and locker rooms.
Plantar FasciitisPlantar fasciitis (or heel pain) is commonly traced to an inflammation on the bottom of the foot. Our practice can evaluate arch pain, and may prescribe customized shoe inserts called orthoses to help alleviate the pain. Read More...
Podiatric OrthopedicsDr. Vulanich is originally from Massachusetts and attended the University of Vermont to obtain her Bachelors degree. She received her medical degree from the Scholl College of Podiatric Medicine. Dr. Vulanich completed her training at the Oak Forest Hospital podiatric residency program. She is board certified by the American Board of Podiatric Orthopedics and Primary Podiatric Medicine and has obtained certification for wound care by the Fellow American Professional Wound Care Association. She entered into private practice several years before joining Podiatry Associates. She is currently treating patients at our location on Georgetown Road, our location on Kentucky Avenue, and the Clarian West office in Avon. Dr. Vulanich is a member of both the Indiana and American Podiatric Medical Associations.
Podiatric SurgeryDr. Warner is Board Certified in foot surgery by the American Board of Podiatric Surgery. She recently completed the Physician Leadership Series in Louisville sponsored by St. Vincent Health.
CornsCorns and calluses are protective layers of compacted, dead skin cells. They are caused by repeated friction from skin rubbing against bony areas or against an irregularity in a shoe. Corns ordinarily form on the toes and calluses on the soles of the feet. Read More...
FrostbiteCold injuries of the toes and feet usually occur in winter when the cold temperature combines with slightly moist skin to create injury. Cold weather injuries may consist of Frostbite or the less severe but still painful Chilblains.
CallusesCalluses form from repeated friction and pressure, as the shoe (or ground) rubs against a bony prominence (bone spur) on the toe or foot. The skin thickens in response to this pressure. Small amounts of friction or pressure over long periods of time cause a
FungusA chronic infection caused by various types of fungus, Athlete's foot is often spread in places where people go barefoot such as public showers or swimming pools. Read More...
Sports MedicineDr. Glynn is a member of American Podiatric Medical Association, the Indiana Podiatric Medical Association, American Academy of Podiatric Sports Medicine, American Diabetes Association, Arthritis Foundation and the American Association for Women Podiatrists. She has staff affiliations at Methodist Hospital, Eagle Highlands Outpatient Surgery Center, The Surgery Center of Indianapolis, Community South Hospital, Methodist South Outpatient Surgery Center, Indiana Surgery Center South, and Indiana University Hospital. Dr. Glynn is currently treating patients at the US 31 South office located on the South side of Indianapolis (Greenwood area).
Orthotics and Prosthetic Therapy
Ankle SprainMany of you may have suffered a broken ankle, ankle sprain or jammed your big toe in the past but are still suffering from constant aches
Physical TherapyNonsteroidal anti-inflammatory medications, icing, physical therapy, supportive taping, bracing, and orthotics are common treatments for painful progressive flatfoot. Note: Please consult your physician before taking any medications. In some cases, a surgery may need to be performed to repair a torn or damaged tendon and restore normal function. In the most severe cases, surgery on the midfoot bones may be necessary to treat the associated flatfoot condition.
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