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Posts for tag: Mt. Pleasant Podiatrist

The greater Charleston area is very fortunate to have many options in choosing their foot care specialists. Many well trained foot and ankle specialists serve the area. We would like to give a little background regarding how Dr. Brown and Dr. Saffer experienced foot pain as children and used those experiences in daily practice.

Dr. Brown and Dr. Saffer have similar backgrounds both growing up locally in Charleston and going to school together all the way through at the College of Charleston. Both of our physicians played high school basketball together and had various foot and ankle injuries which were treated by foot specialists.

Dr. Brown played competitive baseball at the College of Charleston and had ingrown toenails treated by local Podiatrist when he was in middle school and high school.  Dr. Brown also suffered various foot sprains and strains over the years which resolved with conservative treatment. These experience has helped Dr. Brown relate more to what his patients go through when they have these painful foot condtions.

Dr. Saffer was born with flatfeet and was treated for this condition by foot specialists since he was a toddler. Luckily Dr. Saffer was introduced to a family friend who was a local Foot Specialist when he was 10 year old. Custom foot orthotics were made and this allowed Dr. Saffer to play sports without discomfort. In addition Dr. Saffer during his residency was having increased pain in his feet after standing 10-12 hours a day during surgery rotations. Dr. Saffer was evaluated by the most prominent Foot Surgeon in the country the late Dr. Yu. Flatfoot surgery was an option by Dr. Yu recommended a few modifications to his orthotics which eventually resolved his foot pain and changed Dr. Saffer's thinking with regards to Flatfoot reconstruction. If Dr. Saffer who has suffered from flatfeet his entire life can function without pain with Custom Sports foot Orthotics then flatfoot reconstruction should be the last option available.

For more information about our foot specialists and practice please go to


Our foot specialists at Carolina Foot Specialists see a larger number of patients who have bunion and tailor bunion deformities. We would like to ease your anxiety if you feel as if you have a bunion deformity and talk about how you get them as well as all conservative and surgical treatment options in the next few blogs this month.

Bunions are typically an inherited condition and is more often found in women. Bunions can become larger over time and become painful in tight shoe gear such as a high heel shoe. A bunion and a tailor bunion is a prominence on the inside of the foot (head of first metatarsal with great toe deviating in) and outside of the foot (fifth metatarsal head deviating out). A majority of our patients that we see have bunions but do not have pain. Half the battle is selecting proper shoe gear that has a wider toe box. Upon your first visit we will take digital x-rays to not the angular position of the bunion and discuss a conservative treatment plan to try to avoid surgery and slow the progression of the bunion.

If surgery is needed techniques have changed over the years which affords the patient to be weight bearing in a surgical shoe or boot following the surgery in most cases. Our foot specialists use internal screw fixation which allows patient to begin weight bearing right after surgery. The surgery is outpatient under local and IV sedation and takes about 45 minutes to an hour. Healing time is 6-8 weeks and patients are followed weekly during until the bone has healed. Detailed programs to resume light activity is reviewed with our patients. Bunion surgery would be the most common surgery that our foot specialists perform at Carolina Foot Specialists.

We have a nice video on our home page that discusses bunion surgery for your information.

Please contact our offices if you have bunions or tailor bunions. If the bunions are asyptomatic it may be good to at least get a baseline x-ray in order to evaluate the progression of the bunion in the future.

Look out for more blogs about Bunion surgery in the next few weeks.

The Cooper River Bridge Run is right around the corner and we hope you training is going well. We wanted to update our experience with Minimalist shoes and preventing foot injuries before the race. Over the past several years we have seem more patients run with Minimalist shoes. We have seen a good number of our patients suffer from Achilles tendonitis and forefoot issues such as stress fractures, neuromas, and metatarsalgia. If your are considering switching to a minimalist shoe our practice recommends starting slowly first running on a treadmill without an incline. We recommend running every other day and building up your mileage. After a few weeks of adjusting to the minimalist shoe we recommend that you can slowly progress into running outdoors and on hard surfaces then eventually hills.

According to the British Journal of Sports Medicine they maintain that running in minimalist footwear appears to increase the chance of injury. A recent study of 99 runners with either a neutral or mild pronation wore either a neutral shoe, partial minimalist shoe, or full minimalist shoe. The study there was 23 infuries. The majority of injuires were with either the partial or full minimalist shoes. The authors suggested caution when recommending minimalist footwear to runners who are new to running or preparing for a 10 K event.

We recommend if you are a seasoned runner with a good foot structure then gradual transition to barefoot or minimalist shoes would be acceptable. We are most concerned about our patient population that is older than 40 (Achilles loses it's elasticity), over weight, or have had a history of foot injuries. In addition having a lower arch or overpronating when you run would not be the ideal situation to run with a minimalist shoe.