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Apple a Day Blog

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18/Dec/2018

For many people, a simple scratch or blister isn’t anything to worry about. That’s life, right? For the estimated 29.1 million Americans living with diabetes, however, sometimes even the smallest cuts can become incredibly serious if you’re not extremely careful with care and prevention.

Diabetes affects every part of the body, even your feet, as it causes poor circulation and sensation. With poor circulation, this means you might experience longer and more difficult healing times than others without diabetes. Additionally, many people with diabetes can’t feel their feet due to a lack of sensation, which can make wound detection very difficult.

According to the Future of Health Care, around 25 percent of people living with diabetes will develop wounds in their lifetime, with recurrence rates for wounds within five years being close to 70 percent. Meanwhile, the American Podiatric Medical Association found that around 6 percent of diabetics with foot ulcers or wounds will be hospitalized due to infection or other complications.

Symptoms

As many diabetics experience dulled sensation in their feet, it can be challenging to know when a wound or problem area has developed. To stay healthy and prevent complications, check your feet regularly for any size cut, scrape, or blister. Monitor them carefully to make sure they don’t become an open wound or ulcer.

Common symptoms of foot ulcers may include potential drainage in your socks, redness or swelling, and even odor if the wound has progressed significantly. Please seek medical help immediately, if this is the case.

Home Treatment and Prevention

If you notice a wound on your foot, please seek professional medical care immediately and don’t try to treat the situation yourself – leave this level of care to the experts. What you can and should do is check your feet every day and conduct proper foot care.

To prevent any foot ulcers or wounds, make sure you wash your feet daily, avoid walking barefoot, wear supportive shoes, inspect your feet daily, carefully trim your toenails, and visit your podiatrist periodically.

People with well-managed diabetes are less likely to suffer from wounds that won’t heal, so it is always imperative to keep your blood sugars within your target range, eat a healthy diet, and avoid smoking. While your doctor can support you once you get a wound, it’s always best to aim for prevention.

When to See Us

You should never wait to seek podiatric medical care once you notice a wound or ulcer developing on your foot. As wounds that don’t heal can become life threatening for diabetics, you should always seek medical help to reduce the risk of infection or amputation.

If you have diabetes and have located a wound or ulcer, please come in to see our office podiatrist, Dr. Brad Gipson, right away. Once there, you can ask about the best prevention methods and how to take care of your stubborn wounds that refuse to go away.

Once you come into the office, we will assess the severity of your wound and recommend a treatment plan. This plan may include anything from antibiotic treatment to cleaning the wound to surgical treatment to removing dead tissue.

Don’t wait until it’s too late! Come see us today for regular foot exams and to help prevent wound formation.

To make your appointment today, call us at(865) 769-9685. Follow us on Facebook, Twitter, or Instagram, or subscribe to our Newsletter for more information during Foot Health Month.

 

 

 


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18/Dec/2018

Experiencing stabbing pain in your heel as soon as you get out of bed in the morning? Feel like you need to tiptoe around your home after sitting for a long period of time?

Does the pain subside after a few minutes of walking around on pins and needles? If you can relate to these situations, you might be suffering from an inflammatory condition known as plantar fasciitis.

Caused by increased pressure on your plantar fascia ligaments, pain can strike at any time, although there are a few risk factors that could make the condition more likely to occur.

These risk factors include sudden weight gain, regular high impact activity, tighter calf muscles, obesity, and a very high arch. While all these factors can contribute to the problem, in most instances, plantar fasciitis develops without a specific, identifiable reason. For example, anything from wearing a new pair of shoes to a missed step could be the catalyst.

Symptoms

As mentioned previously, one of the most persistent symptoms of plantar fasciitis is intense pain at the bottom of the heel. While some people also experience pain in their mid-foot region, all affected individuals report that the condition gradually grows more bothersome over time. Pain usually isn’t felt during prolonged walks or exercise, however, as it usually occurs after stopping.

Sensations can range from a dull ache to sharp pain and for some people, it only affects one foot, while others experience these symptoms in both. In addition to the initial irritation, some people also report feeling burning or more aching extending outward from the heel area.

Home Treatment and Prevention

To begin treating this condition at home, try to stay off your feet and apply ice to the affected area for 15-20 minutes a few times a day to help with swelling. Taking ibuprofen or naproxen to help reduce inflammation and stretching out the foot may also bring some relief.

Helpful prevention tips include maintaining a healthy weight, wearing supportive shoes, relying on arch supports or other orthotics, switching to a low-impact sport or exercise routine, and replacing old athletic shoes.

When to See Us

Sometimes home treatments and over-the-counter anti-inflammatory medication just won’t fully ease the pain. If this is the case, it might be time to seek out medical help, especially if the condition worsens.

For periodic pain or for sudden or severe plantar fasciitis problems, please come in to see our office podiatrist, Dr. Brad Gipson. He will gladly find the ideal treatment plan for your condition.

How We Treat This Condition

When it’s time to come in and see us, your treatment will consist of therapy exercises to stretch the plantar fascia ligament and Achilles tendon. We may also encourage you to take oral nonsteroidal anti-inflammatory drugs or will conduct injections into your heel.

Most people experience relief after weeks or months of physical therapy. If you are still experiencing pain, we may recommend extracorporeal shock wave therapy or even surgery in highly severe cases, however this latter course of action is very rare.

Stop walking around in pain and don’t let your plantar fasciitis keep you down! To make your appointment today, call us at(865) 769-9685. Follow us on Facebook, Twitter, or Instagram, or subscribe to our Newsletter for more information during Foot Health Month.

 


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18/Dec/2018

Is your heel swelling and in constant pain? Is the pain sharp and gets worse when you try to walk, stand, or go about your daily life? Can’t go on your evening run anymore? You might be suffering from Achilles Tendonitis, which is an inflammation of the Achilles tendon.

As the largest tendon in your body, your Achilles connects your calf muscles to your heel bones, and while it can withstand a great deal of stress from running or jumping, it can succumb to tendonitis due to disease or injury.

There are two primary types of types of Achilles tendonitis, which include insertional Achilles tendinitis and noninsertional Achilles tendonitis. Insertional impacts the lower portion of the tendon, while noninsertional deals with fibers in the middle of the heel. The latter condition usually affects younger, active individuals.

Unfortunately, Achilles tendonitis can occur at any time, though is more common with highly active runners or athletes from years of overuse or strain on the tendon. However, if you have a sudden increase in activity, exercise, or are not stretching properly before intense workouts, you can experience this condition as well.

Symptoms

While some patients can specifically remember the inciting incident, many more cannot recall the precipitating event that lead to their Achilles tendonitis. Just keep in mind that any repeated activity can put pressure on your tendon, which could lead to this condition.

So what are the common symptoms of Achilles tendonitis? In addition to the general discomfort or swelling of your heel, you might experience a tightening of your calf muscles, your skin feeling warm to the touch, or a limited range of motion when using or flexing your foot.

Home Treatment and Prevention

Sometimes, simple home treatments can help treat Achilles tendonitis. These remedies may include rest, anti-inflammatory medication, reducing your physical activity, icing the area after exercise, and elevating your foot to decrease chances of swelling.

Many experts also recommend combining all these treatments into the RICE method, which involves rest, ice, compression, and elevation after any physical activity of injury that may result in Achilles tendonitis. Look up this home remedy strategy to learn more.

When to See Us

While home treatment is always a great first step, if it doesn’t work, you may need to seek out professional help. For more serious conditions, the tendonitis can worsen and tear. If this occurs, you may need surgery or consistent medication to take care of the pain.

For severe or debilitating conditions, please come in to see our office podiatrist, Dr. Brad Gipson. He will be able to help you find the right treatment plan for your situation.

How We Treat This Condition

When you come into the office, your evaluation and treatment process may involve x-rays and an ultrasound to confirm your diagnosis. Then, Dr. Gipson may suggest a range of options, such as rest, ice, anti-inflammatory medication, therapeutic ultrasound, or physical therapy exercises, depending on how bad your condition may be.

Sometimes, a temporary heel lift and orthotics may be used, while other serious cases include  offloading with a pneumatic CAM walker. Surgical options are usually only pursued after six months of non-effective, nonsurgical treatment.

Call Us Today

Stop hobbling around your home and don’t suffer another moment from Achilles Tendonitis! To make your appointment today, call us at(865) 769-9685. Follow us on Facebook, Twitter, or Instagram, or subscribe to our Newsletter for more information during Foot Health Month.

 


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18/Dec/2018

Rarely is anything more uncomfortable and frustrating than an ingrown nail. While already extremely painful, this condition can become even more debilitating if it gets infected. Say goodbye to that morning jog or going out dancing with your spouse if the edge of your nail growing into your skin makes it impossible to walk around without significant discomfort.

So how do you get an ingrown nail? While some people inherit this condition from their family, other reasons may include cutting toenails too short, wearing ill-fitting shoes, or experiencing some sort of injury or trauma to your toenail.  

Unfortunately, ingrown nails can and do occur for people of all ages, though a large percentage of patients suffering with this condition are adolescents. Although many people don’t have recurrent ingrown nails as they age, some do suffer from this condition throughout their lifetime, which makes seeking relief a high priority for many affected individuals.

Symptoms

How do you know if you have an ingrown nail? Most early symptoms include the skin around the nail becoming painful, tender, or swollen. You may notice the pain whenever you put any pressure on the affected toe or even notice fluid building up around the area.

If an infection sets in, you may notice redness, bleeding, oozing discharge, or skin growing up over the nail. The key to feeling better is to try out a few home remedies and then seek out professional help if the condition worsens or does not get better.

Home Treatment and Prevention

Sometimes, if your ingrown nail is not too severe, you can try treating it at home. Try soaking the affected toe in warm water with Epsom salts, applying a topical antibiotic ointment, and bandaging the toe. Some individuals also take over-the-counter medications for the pain, such as acetaminophen.

Seek out medical help if the problem persists or it becomes infected, as this could lead to more serious complications.

When to See Us

If your ingrown nail is not responding to your in-home treatment plan or if the pain or swelling becomes increasingly severe, it might be time to come in to see our office podiatrist, Dr. Brad Gipson.

You may also consider seeking out medical help if you have an allergic reaction to your home remedy treatment or if you have any questions about how to properly care for ingrown nails.

How We Treat This Condition

If you have no swelling, discharge, intense pain, or redness, we may perform a simple nail procedure using only topical anesthesia. Yet, if you are suffering from the aforementioned symptoms, we may need to conduct a more thorough procedure.

If so, we will first inject the toe so that no further pain will be felt during the procedure. At this point, we may remove the entire nail or just part of it, depending on the severity of the condition and if the ingrown nail is a recurrent issue.

Often, we conduct an extra procedure to keep the nail borders from ever growing back, especially if you frequently suffer from ingrown nails. If there are signs of infection, we may also prescribe oral antibiotics.

Call Us Today

Don’t suffer another moment from ingrown nails! To make your appointment today, call us at (865) 769-9685. Follow us on Facebook, Twitter, or Instagram, or subscribe to our Newsletter for more information during Foot Health Month.


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18/Dec/2018

August is “Foot Health Month” at Apple Healthcare Group!

All this month, we’ll be posting about how we can help keep your feet happy and healthy.

Know Your Feet

Your feet may appear to be fairly simple at first glance, but they are made of up 26 bones, 33 joints, 19 muscles, 107 ligaments 19 muscles and nearly 8000 nerves .

  • One of every four bones in your body are located in your feet.
  • When you walk, your toes carry half of your body weight each time you lift your heel.
  • The average foot gets two sizes longer when a person stands up.
  • Sixty million Americans or 25% of the U.S. population have flat feet.

Why Foot Health is Important

Feet are one of the most-used, and most durable, parts of your body. They get walked on, stood on, shoved into shoes and occasionally kicked into a misplaced piece of furniture.

The average person will take over 200 million steps in their lifetime, and will spend and additional several years standing during that time. Over that time, nearly three out of every four people will experience an issue with their feet.

The feet are the base of your body while standing, and problems with them can cause issues with posture, leg and back pain, and other health issues. Poor foot health can also prevent or reduce physical activity, which can lead to an even larger number of health problems.

How We Can Help

If you are experiencing any of the following conditions, or any problem with your feet, please make an appointment with our podiatrist, Dr. Brad Gipson, so he and our team can help get your feet back to optimal condition.

We’ll be highlighting several of these conditions over the coming month and talk about how to recognize symptoms and what treatment options are available for these conditions.

Our Podiatrist

Brad Gipson, DPM received his medical degree from Barry University School of Podiatric Medicine and Surgery in 2003. His surgical residency and post-doctoral training was completed at the Miami Veterans Affair’s Hospital in Miami, Florida, where he served as Chief Resident in forefoot and rearfoot reconstructive surgery. He has also received specialized training in diabetic and non-diabetic wound care management. He continues his wound treatment and training as an attending physician at the Ft. Sanders Wound Center. He is on staff with Tennova Healthcare and Ft. Sanders Regional Hospital. Check out his full bio here.

Learn More

To make your appointment today, contact (865) 769-9685, and stay tuned for our Facebook, Twitter, Instagram, Blog and Newsletter for more information during Foot Health Month.


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18/Dec/2018

Do you have pain from Osteoarthritis (OA) in your knees, ankles, wrists, elbows or shoulders?
Apple Healthcare Group is one of a growing number of clinics across the country to offer a breakthrough treatment for those suffering from OA: Stem Cell and Regenerative Therapy .

What is Stem Cell and Regenerative Therapy?

Stem cells are the building blocks of the body. Your body has been healing itself with stem cells for its entire life. Most of the time, you can rely on these cells to see you through the healing process.
However, as we age, healing does not always come as easily. Our regenerative medicine treatment uses mesenchymal growth factors and stem cells from umbilical cord matrix to help the body heal faster, regenerate tissue and decrease pain allowing us to see better and faster results.

How Does it Work?

A typical treatment uses PRP ( Platelet Rich Plasma ) and an injection of mesenchymal stems cells (MSC) and growth factors. PRP is a concentration of your own platelets with high amounts of healing growth factors. Although, these treatments may be used independently, we have seen the combination of the two produces better clinical outcomes.
For severe cases, some patients choose second round of PRP that can be may be administered three months after the initial treatment to further improve results.

How Quickly Can I Expect Relief?

Most patients will feel significantly better within a month or two after treatment. Continued repair and improvement is common for the first 3-6 months after the regenerative procedure, and some
evidence suggests the treatment continues to rebuild for up to a year.
As with any innovative procedure results cannot be guaranteed. This procedure is not for everybody. Evaluation and discussion with the provider is paramount to see if you are a candidate.

Learn More

Please call to set up your evaluation to see if, regenerative medicine therapy is right for you.
Western Ave. / I-640: 865-524-1234
Cedar Bluff: 865-691-3155

18/Dec/2018

Hello Andy,
We’re excited to introduce our new direct-pay program: the Apple Healthcare Plan!
This program takes advantage of a new Tennessee law that allows us to have a direct private pay agreement with you, our patient.
For just a $25 annual processing fee per household (same address), you’ll save up to 60% off the cost of treatment and durable medical equipment. These savings can really add up over a year!
Membership in the Apple Healthcare Plan has many perks, including:
  • Discounted blood and saliva tests
  • A 5% discount on vitamins and supplements ordered through our website
  • A 5% discount on new or refurbished orthotics
  • A 5% discount on massage therapy services
  • Our Apple Health and Wellness newsletter
  • No-hassle cancellation
Ask about the Apple Healthcare Plan at the front desk today, or call
(865) 769-9685 to start saving money today!

18/Dec/2018

Happy New Year!

With the New Year off to a brand new beginning, it’s a great time to start over. Set new goals. Break bad habits. Resolve to become healthier.
If you’re thinking about starting a physical fitness program, losing some weight, eating a better diet, or improving some other health behavior,remember your spine!
A healthy spine and nervous system should be the starting point of any New Year’s resolution for better health.
To start the New Year off on a healthy note, schedule an appointment at ourCedar Bluff or Western Avenue locations.
Our staff can:
  • Evaluate your current strength and flexibility
  • Discuss any fitness goals you have in 2018
  • Explain how we can support you with chiropractic care and other medical services.
Happy New Year!

18/Dec/2018

Getting your body back in shape after having a baby can be a real challenge. Apple’s resident Physical Therapist, Jamie Ligon, is offering a class to help your learn how to get back to a safe and strong body after childbirth.

Check out this video of Jamie talking about one particular issue new mom’s can face


Who: Post-Partum Moms (6 weeks minimum)
When: January 3- February 7 @ 12:30-1:30pm
(every Wednesday for 6 weeks)
Where:

Apple Health and Wellness
4307 Ball Camp Pike, Knoxville,TN 37921

Cost: $60 for 6 weeks or $15/ individual class

Provider: Jamie Ligon, PT, DPT, PCES

To learn more and sign up today, call 865-524-1234


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18/Dec/2018

Did you know you can actually be allergic/sensitive to foods that are considered “healthy” and feel WORSE by eating them?

Does any of these sound like you?

  • Do you get frequent migraines?
  • Do you often feel tired and run down, but you just cannot sleep?
  • Do you often feel like every time you eat you get bloated, gassy, or have some type of abdominal pain?
  • How about feeling like your body is constantly gaining weight despite having a “decent” diet?
  • Not reaching your goals at work, home or the gym due to mental fog or muscle fatigue?
All of these issues and more can be related to food allergies, food sensitivities, and leaky gut syndrome. We LITERALLY are what we eat, and our new testing through Dunwoody Labs can actually test for food allergies, sensitivities and leaky gut in one simple lab draw that is now covered by insurance!
We are so excited to offer this new state of the art testing for our patients!
This type of testing is not the only testing that Dunwoody has to offer. You can see a full list of different testing here by clicking on test profiles.
If you would like to set up a testing time, please contact 865-691-3155 and set up an appointment with our nurse practitioner Jessica Cantwell, FNP-BC.
If you have further questions about testing, or the different tests we offer, please email jessicac@applehealthwellness.com

Western Ave. / I-640

4307 Ball Camp Pike
Knoxville, TN 37921
Office: (865) 524-1234
Fax: (865) 524-2169

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 7am - 11:30am
Thursday: 7am - 5:30pm
Friday: 7am - 5:30pm
Saturday: 8am - 11am
Sunday: Closed

Cedar Bluff

312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 2pm - 5:30pm
Thursday: 8am - 5:30pm
Friday: 7am - 5:30pm 312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

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