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Littleton Foot and Ankle Clinic Dr. Christina Garvin
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At Littleton Foot and Ankle Clinic, we treat your feet.
At Littleton Foot and Ankle Clinic, we treat your feet.

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At Littleton Foot and Ankle Clinic, we try to make your visit as easy as possible. We offer our new patient intake forms online as well as a patient portal.

New Patient Forms: https://nebula.wsimg.com/6da422c8627c09c784215baed43c8d8c?AccessKeyId=856A70B010921BF4C54D&disposition=0&alloworigin=1

Patient Portal: https://www.yourhealthfile.com/yourHealthFile/

When you visit our office we offer free wifi and we strive to provide you the shortest wait time possible. We also try to offer appointment times that fit your busy schedule.

If you have any questions call (303) 933-5048 or visit our website at
https://www.littletonfootandankleclinic.com/

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At Littleton Foot and Ankle Clinic, we get tons of questions about bones and how they heal. Today, we thought we would address the questions our patients have about bone healing.

All broken bones go through the same healing process. This is true whether a bone has been cut as part of a surgical procedure or fractured through an injury.

The bone healing process has three overlapping stages: inflammation, bone production and bone remodeling.

* Inflammation starts immediately after the bone is fractured and lasts for several days. When the bone is fractured, there is bleeding into the area, leading to inflammation and clotting of blood at the fracture site. This provides the initial structural stability and framework for producing new bone.

* Bone production begins when the clotted blood formed by inflammation is replaced with fibrous tissue and cartilage (known as soft callus). As healing progresses, the soft callus is replaced with hard bone (known as hard callus), which is visible on x-rays several weeks after the fracture.

* Bone remodeling, the final phase of bone healing, goes on for several months. In remodeling, bone continues to form and becomes compact, returning to its original shape. In addition, blood circulation in the area improves. Once adequate bone healing has occurred, weightbearing (such as standing or walking) encourages bone remodeling.​

How Long Does Bone Healing Take?
Bone generally takes six to 12 weeks to heal to a significant degree. In general, children's bones heal faster than those of adults. The foot and ankle surgeon will determine when the patient is ready to bear weight on the area. This will depend on the location and severity of the fracture, the type of surgical procedure performed and other considerations.

What Helps Promote Bone Healing?
If a bone will be cut during a planned surgical procedure, some steps can be taken pre- and postoperatively to help optimize healing. The surgeon may offer advice on diet and nutritional supplements that are essential to bone growth. Smoking cessation and adequate control of blood sugar levels in people living with diabetes are important. Smoking and high glucose levels interfere with bone healing.

For all patients with fractured bones, immobilization is a critical part of treatment because any movement of bone fragments slows down the initial healing process. Depending on the type of fracture or surgical procedure, the surgeon may use some form of fixation (such as screws, plates or wires) on the fractured bone and/or a cast to keep the bone from moving. During the immobilization period, weightbearing is restricted as instructed by the surgeon.

Once the bone is adequately healed, physical therapy often plays a key role in rehabilitation. An exercise program designed for the patient can help in regaining strength and balance and can assist in returning to normal activities.

What Can Hinder Bone Healing?
A wide variety of factors can slow down the healing process. These include:

* Movement of the bone fragments; weightbearing too soon
* Smoking, which constricts the blood vessels and decreases circulation
* Medical conditions, such as diabetes, hormone-related problems or vascular disease
* Some medications, such as corticosteroids and other immunosuppressants
* Fractures that are severe, complicated or become infected
* Advanced age
* Poor nutrition or impaired metabolism
* Low levels of calcium and vitamin D

How Can Slow Healing Be Treated?
If the bone is not healing as well as expected or fails to heal, the foot and ankle surgeon can choose from a variety of treatment options to enhance bone growth, such as continued immobilization for a longer period, bone stimulation or surgery with bone grafting or use of bone growth proteins.
https://www.foothealthfacts.org/conditions/bone-healing

If you have questions about how your feet and ankles heal or need us to take a look at your bunion, gout, or ingrown toenails, give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #Littleton #Denver #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor

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One of the problems some of our patients to Littleton Foot and Ankle Clinic with are foot or ankle ulcers. People are surprised ulcers aren't just for the stomach and in this case putting a little Pepto on it won't get you very far.

So, what is a foot or ankle ulcer? Ulcers, which are open sores in the skin, occur when the outer layers of the skin are injured and the deeper tissues become exposed. They can be caused by excess pressure due to ill-fitting shoes, long periods in bed or after an injury that breaks the skin. Ulcers are commonly seen in patients living with diabetes, neuropathy or vascular disease. Open wounds can put patients at increased risk of developing infection in the skin and bone.

The signs and symptoms of ulcers may include drainage, odor or red, inflamed, thickened tissue. Pain may or may not be present.

Diagnosis may include x-rays to evaluate possible bone involvement. Other advanced imaging studies may also be ordered to evaluate for vascular disease, which may affect a patient’s ability to heal the wound.

Ulcers are treated by removing the unhealthy tissue and performing local wound care to assist in healing. Special shoes or padding may be used to remove excess pressure on the area. If infection is present, antibiotics will be necessary. In severe cases that involve extensive infection or are slow to heal, surgery or other advanced wound care treatments may be necessary.
https://www.foothealthfacts.org/conditions/ulcers

If you need us to check on your foot or ankle ulcers or have any other foot and ankle issues, we're here to help. Give Littleton Foot and Ankle Clinic a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #Littleton #Denver #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor

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On of the things we've always been interested in at Littleton Foot and Ankle Clinic is technology. We always try to ensure we're as technology forward as we can be. Because of that, we keep up with some of the news in health care technology and today, we're going to share something we thing is amazing.

Google announced Monday an open source version of DeepVariant, the artificial intelligence tool that last year earned the highest accuracy rating at the precisionFDA’s Truth Challenge.
http://www.healthcareitnews.com/news/google-makes-ai-tool-precision-medicine-open-source

Now we think this is super cool. This will help not only doctors, but patients get the best care possible. With tools like these, our mission to provide you the best care possible that tailored, will become better and far more powerful.

Now, we don't have a super smart AI to always guide us...well, yet, but we do want to take care of you and provide you the best care we possible can. If you have any foot or ankle problems, gout, ingrown toenails, bunions, hammertoes, corns, or diabetic foot issues give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #Littleton #Denver #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor
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Littleton Foot and Ankle Clinic see everything from gout to ingrown toenails to bunions to hammertoes. Today, we're going to talk about hammertoes.

So what exactly is Hammertoe? Hammertoe is a contracture (bending) deformity of one or both joints of the second, third, fourth or fifth (little) toes. This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop.

Normal toes unaffected by hammertoe usually start out as mild deformities and get progressively worse over time. In the earlier stages, hammertoes are flexible and the symptoms can often be managed with noninvasive measures. But if left untreated, hammertoes can become more rigid and will not respond to nonsurgical treatment.

Because of the progressive nature of hammertoes, they should receive early attention. Hammertoes never get better without some kind of intervention.

Causes
The most common cause of hammertoe is a muscle/tendon imbalance. This imbalance, which leads to a bending of the toe, results from mechanical (structural) or neurological changes in the foot that occur over time in some people.

Hammertoes may be aggravated by shoes that do not fit properly. A hammertoe may result if a toe is too long and is forced into a cramped position when a tight shoe is worn. Occasionally, hammertoe is the result of an earlier trauma to the toe. In some people, hammertoes are inherited.

Symptoms
Common symptoms of hammertoes include:

Pain or irritation of the affected toe when wearing shoes.
Corns and calluses (a buildup of skin) on the toe, between two toes or on the ball of the foot. Corns are caused by constant friction against the shoe. They may be soft or hard, depending on their location.
Inflammation, redness or a burning sensation
Contracture of the toe
In more severe cases of hammertoe, open sores may form.

Diagnosis
Although hammertoes are readily apparent, to arrive at a diagnosis, the foot and ankle surgeon will obtain a thorough history of your symptoms and examine your foot. During the physical examination, the doctor may attempt to reproduce your symptoms by manipulating your foot and will study the contractures of the toes. In addition, the foot and ankle surgeon may take x-rays to determine the degree of the deformities and assess any changes that may have occurred.

Hammertoes are progressive—they do not go away by themselves and usually they will get worse over time. However, not all cases are alike—some hammertoes progress more rapidly than others. Once your foot and ankle surgeon has evaluated your hammertoes, a treatment plan can be developed that is suited to your needs.

Nonsurgical Treatment
There is a variety of treatment options for hammertoe. The treatment your foot and ankle surgeon selects will depend on the severity of your hammertoe and other factors.

A number of nonsurgical measures can be undertaken:

* Padding corns and calluses. Your foot and ankle surgeon can provide or prescribe pads designed to shield corns from irritation. If you want to try over-the-counter pads, avoid the medicated types. Medicated pads are generally not recommended because they may contain a small amount of acid that can be harmful. Consult your surgeon about this option.
* Changes in shoewear. Avoid shoes with pointed toes, shoes that are too short, or shoes with high heels—conditions that can force your toe against the front of the shoe. Instead, choose comfortable shoes with a deep, roomy toebox and heels no higher than two inches.
* Orthotic devices. A custom orthotic device placed in your shoe may help control the muscle/tendon imbalance. Injection therapy. Corticosteroid injections are sometimes used to ease pain and inflammation caused by hammertoe.
* Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation. Splinting/strapping. Splints or small straps may be applied by the surgeon to realign the bent toe.

When Is Surgery Needed?
In some cases, usually when the hammertoe has become more rigid and painful or when an open sore has developed, surgery is needed.

Often, patients with hammertoe have bunions or other foot deformities corrected at the same time. In selecting the procedure or combination of procedures for your particular case, the foot and ankle surgeon will take into consideration the extent of your deformity, the number of toes involved, your age, your activity level and other factors. The length of the recovery period will vary, depending on the procedure or procedures performed.
https://www.foothealthfacts.org/conditions/hammertoe

If you need Littleton Foot and Ankle Clinic to take a look at your hammertoe, give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #Littleton #Denver #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor

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Littleton Foot and Ankle Clinic is having fun this Friday talking about ugly Christmas sweaters. Suddenly the discussion turned towards shoes. Are there ugly Christmas shoes? It turns out there are. So we think this year we're going to do away with the sweaters and head to the ugly Christmas shoes. What do you think?

If you need us to check your feet or ankles, we can help. If you have gout, bunions, hammertoes, ingrown toenails, or any foot or ankle issues, give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #Littleton #Denver #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor
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Littleton Foot and Ankle Clinic has a Winter Foot Note for you today. We have six tips for healthy holiday feet, how to keep foot pain out of the game, healthy feet snowboarding tips, and checking on the kiddo's feet.

1. If the shoe fits, wear it. When hitting the dance floor or
shopping malls this holiday season, do not compromise
comfort and safety when picking out the right shoes to wear.
Narrow shoes, overly high-heeled ones or shoes not worn very
often, such as dress shoes, can irritate feet and lead to blisters,
calluses, swelling and even severe ankle injuries. Choose a shoe
that has a low heel and fits your foot in length, width and depth
while you are standing.

2. Do not overindulge in holiday cheer. Did you know your feet
can feel the effects of too much holiday cheer? Certain foods
and beverages high in purines, such as shellfish, red meat,
red wine and beer, can trigger extremely painful gout attacks,
a condition in which uric acid builds up and crystallizes in and
around your joints. The big toe is usually affected first since
the toe is the coolest part of the body, and uric acid is sensitive
to temperature changes.

3. Be safety-conscious about pedicures. Nail salons can be a
breeding ground for bacteria, including MRSA. To reduce your
risk of infection during a pedicure, choose a salon that follows
proper sanitation practices and is licensed by the state. Also
consider purchasing your own pedicure instruments to bring
along to your appointment.

4. Watch for ice and snow. Holiday winter wonderlands can be
beautiful but also dangerous. Use caution when traveling
outdoors, and watch for ice or snow patches along your trail.
The ankle joint can be more vulnerable to serious injury from
falling on ice. If you experience a fall, take a break from activities
until you can be seen by a foot and ankle surgeon. Use RICE
therapy (Rest, Ice, Compression and Elevation) to help reduce
pain and control swelling around the injury.

5. Protect your feet from cold temperatures. Wear insulated,
water-resistant boots and moisture-wicking socks to prevent
frostbite, chilblains—an inflammation of the small blood vessels
in the hands or feet when they are exposed to cold air—or other
cold weather-related injuries to the feet and toes.

6. Listen to your feet. Inspect your feet regularly for any evidence
of ingrown toenails, bruising, swelling, blisters, dry skin or
calluses. If you notice any pain, swelling or signs of problems,
make an appointment with your foot and ankle surgeon. To
find one near you, visit FootHealthFacts.org or swing by Littleton Foot and Ankle Clinic at (303) 933-5048 or https://www.littletonfootandankleclinic.com

https://drive.google.com/file/d/1L0lVm2Po3dQPspg-aM1IPt0Q_QYhjB_U/view?usp=sharing

Personally, we can't wait for it to finally get chilly and have some of that snow fall so we can visit sled hill. We're going to try to keep our feet warm, safe, and healthy while we do it. If you need us to check on your feet or ankles, give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor #Littleton #Denver

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Now that everyone is back from their holiday last week and talking about never eating again and getting back to normal, we can dig into what your podiatrist wants you to know. Thanks to Health Grades, we found a great list of items that we want you to know when you come in.

Here are the 11 tips. If you click the link below, you'll get more detailed information on each bullet.

1. “Make a list before your appointment.”
2. “Bring in your shoes.”
3. “See a podiatrist if you sprain your ankle.”
4. “You shouldn’t have to ‘break in’ shoes.”
5. “Put lotion on your feet daily.”
6. “Realize when it’s time to retire old shoes.”
7. “Don’t ignore ingrown toenails.”
8. “Avoid shoes with pointy toes.”
9. “Everyday foot care can prevent toenail fungus.”
10. “Clean your athletic shoes regularly.”
11. “Avoid wearing flat-soled shoes.”

https://www.healthgrades.com/right-care/foot-health/11-things-your-podiatrist-wants-you-to-know?cid=t12_learn

If you need us to check out your corns, bunions, ingrown toenails, gout, or whatever foot and ankle pain you have, give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor

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Happy Thanksgiving from Littleton Foot and Ankle Clinic to you. We know this week is full of friends and family and fun, but holidays can also bring on Gout. What are those triggers that we can avoid during the holidays?

Changes in diet, including overindulging in certain foods and beverages, can cause gout attacks this time of year.

Gout attacks are extremely painful. They are caused when uric acid accumulates in the tissues or a joint and crystallizes. This most commonly occurs in the big toe joint because the toe is the coolest part of the body and uric acid is sensitive to temperature changes.

ACFAS foot and ankle surgeons say foods that are high in purines contribute to uric acid buildup. They recommend that people prone to gout attacks avoid purine-rich items, such as shellfish (shrimp, crab, etc.), organ meats (kidney, liver, etc.), red meat, red wine and beer.

Gout can be treated with medications, diet changes, increasing consumption of appropriate fluids and elevating and immobilizing the foot.
https://www.foothealthfacts.org/article/got-gout-holiday-season-triggers-painful-toes

If you think you might have Gout, ingrown toenails, or any foot and ankle issues, Littleton Foot and Ankle Clinic can help. Give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor

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Littleton Foot and Ankle Clinic is starting to see more puncture wounds. What Is a puncture wound?

Puncture wounds are not the same as cuts. A puncture wound has a small entry hole caused by a pointed object, such as a nail that you have stepped on. In contrast, a cut is an open wound that produces a long tear in the skin. Puncture wounds require different treatment from cuts because these small holes in the skin can disguise serious injury.

Puncture wounds are common in the foot, especially in warm weather when people go barefoot. But even though they occur frequently, puncture wounds of the foot are often inadequately treated. If not properly treated, infection or other complications can develop.

Proper treatment within the first 24 hours is especially important with puncture wounds because they carry the danger of embedding the piercing object (foreign body) under the skin. Research shows that complications can be prevented if the patient seeks professional treatment right away.

Foreign Bodies in Puncture Wounds
A variety of foreign bodies can become embedded in a puncture wound. Nails, glass, toothpicks, sewing needles, insulin needles and seashells are some common ones. In addition, pieces of your own skin, sock and shoe can be forced into the wound during a puncture, along with dirt and debris from the object. All puncture wounds are dirty wounds because they involve penetration of an object that is not sterile. Anything that remains in the wound increases your chance of developing other problems, either in the near future or later.

Severity of Wounds
There are different ways of determining the severity of a puncture wound. Depth of the wound is one way to evaluate it. The deeper the puncture, the more likely it is that complications, such as infection, will develop. Many patients cannot judge how far their puncture extends into the foot. Therefore, if you have stepped on something and the skin was penetrated, seek treatment as soon as possible.

The type and cleanliness of the penetrating object also determine the severity of the wound. Larger or longer objects can penetrate deeper into the tissues, possibly causing more damage. The dirtier an object, such as a rusty nail, the more dirt and debris are dragged into the wound, increasing the chance of infection.

Another thing that can determine wound severity is if you were wearing socks and shoes, particles of which can get trapped in the wound.

Treatment
A puncture wound must be cleaned properly and monitored throughout the healing process to avoid complications.

Even if you have gone to an emergency room for immediate treatment of your puncture wound, see a foot and ankle surgeon for a thorough cleaning and careful follow-up. The sooner you do this, the better—within 24 hours after injury, if possible.

The surgeon will make sure the wound is properly cleaned and no foreign body remains. He or she may numb the area, thoroughly clean inside and outside the wound, and monitor your progress. In some cases, x-rays may be ordered to determine whether something remains in the wound or if bone damage has occurred. Antibiotics may be prescribed if necessary.

Avoiding Complications
Follow the foot and ankle surgeon’s instructions for care of the wound to prevent complications (see “Puncture Wounds: What You Should Do” further down on this page).

* Infection is a common complication of puncture wounds that can lead to serious consequences.
* Sometimes a minor skin infection evolves into a bone or joint infection, so you should look for these signs:
* A minor skin infection may develop two to five days after injury.

The signs of a minor infection that show up around the wound include soreness, redness and possibly drainage, swelling and warmth. You may also develop a fever.
* If these signs have not improved, or if they reappear in 10 to 14 days, a serious infection in the joint or bone may have developed.
* Other complications that may arise from inadequate treatment of puncture wounds include painful scarring in the area of the wound or a hard cyst where the foreign body has remained in the wound.
* Although the complications of puncture wounds can be quite serious, early and proper treatment can play a crucial role in preventing them.

Puncture Wounds: What You Should Do
* Seek treatment right away.
* Get a tetanus shot if needed (usually every 10 years).
* See a foot and ankle surgeon within 24 hours.
* Follow your doctor’s instructions.
* Keep your dressing dry.
* Keep weight off of the injured foot.
* Finish all your antibiotics (if prescribed).
* Take your temperature regularly. Watch for signs of infection (pain, redness, swelling, fever). Call your doctor if these signs appear.
https://www.foothealthfacts.org/conditions/puncture-wounds

If you have a puncture wound or any issue with your feet and ankles, give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #Littleton #Denver #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor
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