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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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Today at Littleton Foot and Ankle Clinic, we celebrate Dr. Martin Luther King, jr and his legacy. The struggle for racial equality and for all people "to be judged not by the color of their skin, but by the content of their character."

We try to run our clinic with Dr. King's insightful words:
"Life's most persistent and urgent question is, 'What are you doing for others?'"

We hope everyone has a safe and productive day today and stays warm on this snowy Monday.
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It's another Fun Friday at Littleton Foot and Ankle Clinic. Do you ever feel like your feet are not in service? I know we sure do! We can help with that and get your feet back in service and get your back to enjoying Colorado and everything it has to offer.

Give us a call at (303) 933-5048 or visit our website at https://www.littletonfootandankleclinic.com and let us help you with your ingrown toenails, gout, hammertoes, foot and ankle pain, or whatever foot and ankle issues you may face.

#LittletonFootandAnkleClinic #Podiatrist #FootDoctor #Littleton #Denver #LittletonPodiatrist #LittletonFootDoctor #DenverPodiatrist #DenverFootDoctor
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Many times the patients at Littleton Foot and Ankle Clinic come in with joint pain. What surprises most of our patients is the complexity of the foot.

The foot contains 26 bones and more than 30 joints. Many people experience pain involving one or more of these joints. The pain may be accompanied by swelling, tenderness, stiffness, redness, bruising and/or increased warmth over the affected joints.

Joint pain may be caused by trauma, infection, inflammation, arthritis, bursitis, gout or structural foot problems. It is initially treated with rest, elevation and limitation of walking/weightbearing on the painful foot. Use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, and ice can help reduce local inflammation and pain. Custom orothotic devices may also be prescribed to support the foot and reduce pain. A foot and ankle surgeon can best determine the cause of joint pain and recommend the appropriate treatment.

Many times the pain can be:
* Bunions
* Capsulitis of the Second Toe
* Gout
* Osteoarthritis of the Foot and Ankle
* Rheumatoid Arthritis
* Tailor's Bunion
* Tarsal Coalition

If you have joint pain, gout, bunions, 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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Here at Littleton Foot and Ankle Clinic we are always reading various journals and diving into not only how to provide the best care for our patients, but to understand our patients better as well. Because of this, we found this article amazingly interesting. People with diabetic foot disease fear amputation more than death.

With diabetic foot pathology fear major lower-extremity amputation more than death, foot infection, or end-stage renal disease. Variables that were associated with ranking lower-extremity amputation as the greatest fear were the presence of a diabetic-related foot complication, duration of diabetes mellitus ≥10 years, insulin use, and the presence of peripheral neuropathy.

http://journals.sagepub.com/doi/abs/10.1177/1938640017694722

If you have diabetic foot issues, gout, ingrown toenails, bunions, or foot and ankle pain, 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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Happy 2018 to everyone. Today, Littleton Foot and Ankle Clinic is talking about toe fractures.

The structure of the foot is complex, consisting of bones, muscles, tendons and other soft tissues. Of the 28 bones in the foot, 19 are toe bones (phalanges) and metatarsal bones (the long bones in the midfoot). Fractures of the toe and metatarsal bones are common and require evaluation by a specialist. A foot and ankle surgeon should be seen for proper diagnosis and treatment, even if initial treatment has been received in an emergency room.

What Is a Fracture?
A fracture is a break in the bone. Fractures can be divided into two categories: traumatic fractures and stress fractures.

Signs and symptoms of a traumatic fracture include:

* You may hear a sound at the time of the break.
* Pinpoint pain (pain at the place of impact) at the time the fracture occurs and perhaps for a few hours later, but often the pain goes away after several hours.
* Crooked or abnormal appearance of the toe.
* Bruising and swelling the next day.

It is not true that “if you can walk on it, it’s not broken.” Evaluation by a foot and ankle surgeon is always recommended.

Stress fractures are tiny hairline breaks usually caused by repetitive stress. Stress fractures often afflict athletes who, for example, too rapidly increase their running mileage. They can also be caused by an abnormal foot structure, deformities or osteoporosis. Improper footwear may also lead to stress fractures. Stress fractures should not be ignored. They require proper medical attention to heal correctly.

Symptoms of stress fractures include:

* Pain with or after normal activity
* Pain that goes away when resting and then returns when standing or during activity
* Pinpoint pain (pain at the site of the fracture) when touched
* Swelling but no bruising

Consequences of Improper Treatment
Some people say that “the doctor can’t do anything for a broken bone in the foot.” This is usually not true. In fact, if a fractured toe or metatarsal bone is not treated correctly, serious complications may develop. For example:

A deformity in the bony architecture, which may limit the ability to move the foot or cause difficulty in fitting shoes.
* Arthritis, which may be caused by a fracture in a joint (the juncture where two bones meet), or may be a result of angular deformities that develop when a displaced fracture is severe or has not been properly corrected.
* Chronic pain and deformity.
* Nonunion, or failure to heal, can lead to subsequent surgery or chronic pain.

Treatment of Toe Fractures
Fractures of the toe bones are almost always traumatic fractures. Treatment for traumatic fractures depends on the break itself and may include these options:

* Rest. Sometimes rest is all that is needed to treat a traumatic fracture of the toe.
* Splinting. The toe may be fitted with a splint to keep it in a fixed position.
* Rigid or stiff-soled shoe. Wearing a stiff-soled shoe protects the toe and helps keep it properly positioned. Use of a postoperative shoe or bootwalker is also helpful.
* Buddy taping the fractured toe to another toe is sometimes appropriate, but in other cases, it may be harmful.
* Surgery. If the break is badly displaced or if the joint is affected, surgery may be necessary. Surgery often involves the use of fixation devices, such as pins.

Treatment of Metatarsal Fractures
Breaks in the metatarsal bones may be either stress or traumatic fractures. Certain kinds of fractures of the metatarsal bones present unique challenges.

For example, sometimes a fracture of the first metatarsal bone (behind the big toe) can lead to arthritis. Since the big toe is used so frequently and bears more weight than other toes, arthritis in that area can make it painful to walk, bend or even stand.

Another type of break, called a Jones fracture, occurs at the base of the fifth metatarsal bone (behind the little toe). It is often misdiagnosed as an ankle sprain, and misdiagnosis can have serious consequences since sprains and fractures require different treatments. Your foot and ankle surgeon is an expert in correctly identifying these conditions as well as other problems of the foot.

Treatment of metatarsal fractures depends on the type and extent of the fracture and may include:

* Rest. Sometimes rest is the only treatment needed to promote healing of a stress or traumatic fracture of a metatarsal bone.
* Avoid the offending activity. Because stress fractures result from repetitive stress, it is important to avoid the activity that led to the fracture. Crutches or a wheelchair are sometimes required to offload weight from the foot to give it time to heal.
* Immobilization, casting or rigid shoe. A stiff-soled shoe or other form of immobilization may be used to protect the fractured bone while it is healing. Use of a postoperative shoe or bootwalker is also helpful.
* Surgery. Some traumatic fractures of the metatarsal bones require surgery, especially if the break is badly displaced.
* Follow-up care. Your foot and ankle surgeon will provide instructions for care following surgical or nonsurgical treatment. Physical therapy, exercises and rehabilitation may be included in a schedule for return to normal activities.
https://www.foothealthfacts.org/conditions/toe-and-metatarsal-fractures-(broken-toes)


If you think you have a broken toe, gout, bunions, ingrown toenails, hammertoes, or any issues with your foot and ankle, 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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With the new year creeping up on us, Littleton Foot and Ankle Clinic is making their New Years resolutions. We're also trying to make our clinic greener. We've been using the biodegradable K-Cups and we're starting the process of switching over to LED lights and we're already about 30% LED. We're also turning off our computers at night and powering down as much as possible.

And we're like the millions of Americans resolving to lose those extra pounds and be better about going to the gym.

Many of the estimated 70 million obese Americans are trapped in a life-threatening cycle: Obesity aggravates foot problems, like heel pain and flat feet; sore feet make it hard to exercise and lose weight; and without exercise, obesity worsens and increases progression of diabetes, heart disease and other serious health threats.

But don't stop that from making weight loss your New Year's resolution. Foot or ankle pain should not stop patients from exercising. The first step toward breaking the cycle is to seek evaluation and treatment by a foot and ankle surgeon for chronic, activity-limiting foot and ankle problems to foster compliance with physician-directed exercise programs.

For those moderately to severely overweight, a thorough physical examination is mandatory before beginning an exercise program. Once cleared by your physician to begin exercising, don't try to do too much too soon. Follow a gradual routine until your body adjusts to the stress of regular physical activity. For example, overweight patients should avoid working out on treadmills or elliptical machines to minimize pounding and stress on their joints.

Many causes of foot pain can be relieved nonsurgically through stretching exercises, orthotics and athletic shoes with good shock absorption and support. If a bunion, heel pain or other condition requires surgery, patients can participate during their recovery in nonweightbearing activities, such as riding a stationary bike, swimming or weight training.

Shedding excess pounds also helps patients living with diabetes control their disease. Unfortunately, many who experience foot ulcerations and vascular problems caused by diabetes think they shouldn't exercise. Patients living with diabetes need regular foot exams to check for possible sore spots and to assess nerve sensation. With proper foot care and the right footwear, most patients living with diabetes can follow an exercise regimen that is safe and appropriate for them.
https://www.foothealthfacts.org/article/fix-feet-first-before-weight-loss-resolutions

If you need us to check on your feet and ankles or if you have gout, bunions, hammertoes, ingrown toenails, or diabetic feet, 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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With all that walking around for your holiday shopping, calluses tend to form. At Littleton Foot and Ankle Clinic, we see them all the time and we understand that many of our patients are concerned about them. Generally, as long as it isn't painful, you are fine. If you have a painful callus, please visit us.

So what is a callus? A callus is a thickened area of skin on the foot caused by pressure and repeated rubbing, such as from a shoe or sock. The rubbing causes the skin to produce a layer of protective skin (a callus). Calluses vary in size and can become painful.

There are a number of treatments for painful calluses. People who have calluses are cautioned against performing “bathroom surgery,” as this can lead to cuts and infection. A foot and ankle surgeon can evaluate the cause of the calluses and recommend the treatment most appropriate for your condition. However, if the underlying cause of the callus is not treated or removed, the callus may return.
https://www.foothealthfacts.org/conditions/callus

If you need us to help with your callus, ingrown toenail, bunion, gout, or any of your foot and 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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Sometimes, our patients come to us with concerns about Deep Vein Thrombosis or DVTs. One of the concerns we have at Littleton Foot and Ankle Clinic are DVTs, especially after a surgery. It is something that is quite serious and absolutely critical.

So, what is Deep Vein Thrombosis?
The blood supply of the leg is transported by arteries and veins. The arteries carry blood from the heart to the limbs; veins carry blood back to the heart. The leg contains superficial veins, which are close to the surface, and deep veins, which lie much deeper in the leg. Deep vein thrombosis (DVT) is a condition in which a blood clot (a blockage) forms in a deep vein. While these clots most commonly occur in the veins of the leg (the calf or thigh), they can also develop in other parts of the body.

DVT can be very dangerous and is considered a medical emergency. If the clot (also known as a thrombus) breaks loose and travels through the bloodstream, it can lodge in the lung. This blockage in the lung, called a pulmonary embolism, can make it difficult to breathe and may even cause death. Blood clots in the thigh are more likely to cause a pulmonary embolism than those in the calf.

Causes of DVT
Many factors can contribute to the formation of a DVT. The more risk factors a person has, the greater the risk of having a DVT. However, even people without these risk factors can form a DVT.

Risk Factors for DVT:
Blood or vein conditions:

* Previous DVT
* Varicose veins
* Blood clotting disorders
* Family history of DVT or blood clotting disorders

Other medical conditions:

* Heart disease
* Chronic swelling of the legs
* Obesity
* Inflammatory bowel disease
* Cancer
* Dehydration
* Sepsis

Women's health issues:

* Hormone replacement therapy
* Birth control pills containing estrogen
* Pregnancy or recent childbirth

Other:

* Age over 40 years old
* Immobility (through inactivity or from wearing a cast)
* Recent surgery
* Trauma (an injury)
* Smoking

Signs and Symptoms of DVT in the Leg
Some people with DVT in the leg have either no warning signs at all or very vague symptoms. If any of the following warning signs or symptoms are present, it is important to see a doctor for evaluation:

* Swelling in the leg
* Pain in the calf or thigh
* Warmth and redness of the leg

Diagnosis
DVT can be difficult to diagnose, especially if the patient has no symptoms. Diagnosis is also challenging because of the similarities between symptoms of DVT and those of other conditions, such as a pulled muscle, an infection, a clot in a superficial vein (thrombophlebitis), a fracture and arthritis. If DVT is suspected, the doctor will immediately send the patient to a vascular laboratory or a hospital for testing, which may include a blood test, Doppler ultrasound, venogram, MRI or angiogram.

Treatment of DVT
If tests indicate a clot is present, the doctor will make a recommendation regarding treatment. Depending on the location of the clot, the patient may need hospitalization. Medical or surgical care will be managed by a team of physicians, which may include a primary care physician, internist, vascular (blood vessel) surgeon or hematologist (blood disease specialist).

Treatment may include:

* Medication. A blood-thinning medication is usually prescribed to help prevent additional clots from forming.
* Compression stockings. Wearing fitted hosiery decreases pain and swelling.
* Surgery. A surgical procedure performed by a vascular specialist may be required.

Complications of DVT
An early and extremely serious complication of DVT is a pulmonary embolism. A pulmonary embolism develops if the clot breaks loose and travels to the lung. Symptoms of a pulmonary embolism include:

* Shortness of breath
* Chest pain
* Coughing up blood
* A feeling of impending doom

A long-term consequence of DVT is damage to the vein from the clot. This damage often results in persistent swelling, pain and discoloration of the leg.

Preventive Measures
For those who have risk factors for DVT, these strategies may reduce the likelihood of developing a blood clot:

* Take blood-thinning medication, if prescribed.
* Reduce risk factors that can be changed. For example, stop smoking and lose excess weight.
* During periods of prolonged immobility, such as on long trips:
* 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 alcohol and caffeine.
* Consider wearing compression stockings.
https://www.foothealthfacts.org/conditions/deep-vein-thrombosis-(dvt)

We hope this has helped clear up what a DVT is and what do to. If you need help with a DVT, please head to the nearest Emergency Room. For other foot and ankle issues, like bunions, gout, ingrown toenails, hammertoes, or diabetic foot and 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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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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