Podiatrist Near Me Pittsburgh Foot Doctor Pittsburgh PA https://bvfootclinic.com Podiatrist Pittsburgh And The Top Foot Doctor IN Pittsburgh PA Sat, 21 Dec 2019 17:09:50 +0000 en-US hourly 1 https://wordpress.org/?v=5.3.2 166401196 Do you suffer from acute or chronic sores https://bvfootclinic.com/do-you-suffer-from-acute-or-chronic-sores/ https://bvfootclinic.com/do-you-suffer-from-acute-or-chronic-sores/#respond Sat, 21 Dec 2019 17:09:02 +0000 https://bvfootclinic.com/?p=3963 Do open wounds put you at risk for infection? Do you suffer from acute or chronic sores? Do they cause you pain, discomfort of embarrassment? Do open wounds put you at risk for infection or other serious medical conditions? If you answered yes to any of the previous questions, then the dermaPACE was designed for…

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Do open wounds put you at risk for infection?

Do you suffer from acute or chronic sores? Do they cause you pain, discomfort of embarrassment? Do open wounds put you at risk for infection or other serious medical conditions? If you answered yes to any of the previous questions, then the dermaPACE was designed for you. Using ultramodern advances in shockwave technology, the dermaPACE promotes speedy wound recovery. While shockwaves have been used in the medical arena for almost 30 years, they have remained exclusively in the domain of orthopedic and kidney stone procedures. As medical professionals became more familiar with the results of shockwave technologies, some started to notice evidence that there was an unintended effect on wound healing. What was at first anecdotal evidence, soon became verified by rigorous scientific studies.

Thus, Pulsed Acoustic Cellular Expression (PACE) technology was developed. The dermaPACE is the first and only device to utilize specifically designed PACE protocols to treat wounds.

Applications

The dermaPACE apparatus is approved for the treatment of chronic defects of the skin and subcutaneous soft tissues (tissues under the skin). DermaPACE’s pulsed acoustic waves are effective on acute and post-operative wound including:

  • Arterial ulcers
  • Decubitus ulcers
  • Deep-partial thickness burns
  • Diabetic ulcers
  • Post-traumatic wounds
  • Venous ulcers

What Should I Expect? 

Most dermaPACE treatments take place at your Podiatrist’s Office. The appointment is scheduled An intake appointment may or may have not been completed ahead of time. Regardless, you should expect to answer some basic questions and undergo a physical evaluation prior to the procedure. It is a good idea to wear loose-fitting clothing. You might be asked to change into a hospital gown. You should be in general good health at the time of the appointment. You will be asked to sign an informed consent form prior to the treatment.

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Toenail Fungus Treatment – Are Home Remedies Effective? https://bvfootclinic.com/toenail-fungus-treatment-are-home-remedies-effective/ https://bvfootclinic.com/toenail-fungus-treatment-are-home-remedies-effective/#respond Sat, 14 Dec 2019 12:49:24 +0000 https://bvfootclinic.com/?p=3950 Are home remedies for unsightly toenail fungus treatment effective? There are plenty of good reasons to take a do-it-yourself approach to minor medical problems. There’s no doctor’s visit involved, and without prescription medication there’s no risk of side effects. Many home remedies also have little to no cost, making them an even more attractive option. What’s…

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Are home remedies for unsightly toenail fungus treatment effective?

Toenail fungus treatment

There are plenty of good reasons to take a do-it-yourself approach to minor medical problems. There’s no doctor’s visit involved, and without prescription medication there’s no risk of side effects. Many home remedies also have little to no cost, making them an even more attractive option.

What’s the only problem? When it comes to toenail fungus, known as onychomycosis by podiatrists, home remedies rarely if ever work. Good self-care in the form of proper foot and nail hygiene, however, is essential.

Chronic toenail fungus has the reputation of being very difficult to cure completely. To further complicate matters reinfection is quite common. As such, prescription antifungals represent a patient’s best hope of completely eradicating the fungus. These drugs aren’t perfect, but clearance rates of over 70% are possible when topical and oral agents are used.

tea tree oil for toenail fungus

Toenail fungus is by nature difficult to treat since the active infection is shielded by the nail itself. In order to give any treatment the best chance of working the feet must be kept as clean as possible. All nails, even those which don’t appear to be infected, should be kept neatly trimmed. If nail thickness is an issue it pays to manually thin the affected nails with a small file. This last measure is especially important because it helps topical agents penetrate the nail to reach the infection below.

Toenail fungus Treatment and prognosis

While vertically growing toenails may look a bit odd they rarely pose any kind of health risk. Whenever nail growth changes direction it’s a good idea to go back to proper nail care basics. Many cases of vertical nail will resolve themselves over a period of weeks as the nails are cared for properly.

Should this type of conservative treatment fail it’s best to consult with a podiatrist. In general, this is a good idea if you’ve begun to suspect that your nails have been slowly changing over time.

Call Dr Tina today 878-313-3338

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Microphlebectomy: What to Expect  https://bvfootclinic.com/microphlebectomy-what-to-expect/ https://bvfootclinic.com/microphlebectomy-what-to-expect/#respond Sat, 23 Nov 2019 14:00:31 +0000 https://bvfootclinic.com/?p=3503 Microphlebectomy Microphlebectomy, sometimes called an “ambulatory phlebectomy,” is a surgical procedure that can be used to remove some varicose veins. In most cases, a technique called endovenous laser ablation (ELVA) is used to remove varicose veins. However, in some cases, varicose veins are too twisty or close to the skin, to use ELVA. In these…

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Microphlebectomy

Microphlebectomy

Microphlebectomy, sometimes called an “ambulatory phlebectomy,” is a surgical procedure that can be used to remove some varicose veins. In most cases, a technique called endovenous laser ablation (ELVA) is used to remove varicose veins. However, in some cases, varicose veins are too twisty or close to the skin, to use ELVA. In these cases, a microphlebectomy is employed. First, the area is treated with local anesthesia. Next a needle is used to make a series of tiny punctures through the skin removing small parts of the dysfunctional vein. These treatments are an improvement over older methods of varicose vein removal including “vein stripping.” Microphlebectomy requires much less recovery time. Microphlebectomy: What to Expect 

Microphlebectomy is performed in the office under local anesthetic so you avoid a busy and confusing experience in the hospital. You will be back at home in no time.

Microphlebectomy can be combined with endovenous laser ablation therapy to provide even better results.

Microphlebectomy: What to Expect 

Upon entering the office, our staff will review your chart and confirm the details of your treatment. Recovery will be discussed and there will be time for you to ask any questions you might have. 

The doctor will use a focused ultrasound exam to pinpoint the veins in the treatment site which are to be removed. To aid in the process, the veins may be marked on the skin using a marker.

Microphlebectomy is excellent at removing the dilated portions of the diseased veins. Microphlebectomy traditionally follows endovenous laser treatment (EVLA). An EVLA uses a laser to close the vein that feeds the varicose veins. Local anesthesia is administered to protect the patient from any possible discomfort. Next, a series of small holes are made with a needle along the route of the varicose veins. These punctures are used to access the troubling veins through the skin. A specialized tool is then used to hook the veins and remove them from the skin.

Once the procedure is completed, steri-strips are used to cover the access holes. No staples or sutures are required to close the puncture sites. Bandages are then placed over the steri-strips. Compression stockings are used to cover everything and help with healing. Before being discharged from the office, you will be asked to walk around to make sure there are no complications. Since only local anesthesia is used, you will be able to drive yourself home. You should return to the office the next day for a short follow-up appointment. The site will be examined and an ultrasound taken to insure positive results.

Call our Advanced Vein Center today 724-987-3220

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Platelet Rich Plasma https://bvfootclinic.com/platelet-rich-plasma/ https://bvfootclinic.com/platelet-rich-plasma/#respond Sat, 05 Oct 2019 19:07:23 +0000 https://bvfootclinic.com/?p=3268 Platelet Rich Plasma It’s difficult to overstate how unique regenerative therapies such as PRP – Platelet Rich Plasma- are. In previous decades many common injuries either required surgery for a full recovery or “stayed broke.” This is ironic because the patient’s problem isn’t a lack of surgery, it’s a lack of proper and complete healing.…

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Platelet Rich Plasma

Platelet Rich Plasma

It’s difficult to overstate how unique regenerative therapies such as PRP – Platelet Rich Plasma- are. In previous decades many common injuries either required surgery for a full recovery or “stayed broke.” This is ironic because the patient’s problem isn’t a lack of surgery, it’s a lack of proper and complete healing. In many cases, PRP can permanently solve this problem.

Platelet Rich Plasma Uses

  • Arthritis
  • Tendonitis and tendonosis
  • Plantar fasciitis
  • Muscle strains
  • Ankle ligament injuries
  • Chronic foot and ankle pain

Call 878-313-3338

PRP in Sports Medicine

Platelets aren’t just for clotting, however, and play a central role in the healing process as well. These particles are coated with growth factors and other naturally occurring compounds which initiate and sustain tissue healing. These substances are the chemical messengers of healing—without these signals healing simply will not start.

prp injection

 

Platelet Rich Plasma- How it Works

With this background information we can begin to understand how platelet rich plasma works. Your doctor, physician’s assistant, nurse, or phlebologist will first draw enough of the patient’s blood to facilitate the procedure. This amount can vary but usually amounts to no more than 50-100 milliliters (ml). The blood is then spun down in a laboratory centrifuge at high speeds. This causes the blood cells, platelets, and plasma to separate into different layers.

Once all of this is done a highly concentrated mix of plasma containing extremely high levels of platelets can be made. While preparing the mixture, it’s common for physicians to add natural booster compounds such as thrombin, an important clotting factor. Calcium chloride, a form of salt, is also usually included. This is done to stabilize and augment the solution, allowing it to work more quickly.

This concentrate is known as Platelet Rich Plasma. Once prepared, it is immediately injected into injured ligaments, tendons, and cartilage—the tissues joints are made of.

Using PRP, it’s possible to “trick” tissue which is chronically damaged into healing at an accelerated rate. Stubborn injuries such as bone-on-bone arthritis and chronically sprained ankles can now be made to greatly improve, or even heal entirely.

Call 878-313-3338 for more information

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Blister https://bvfootclinic.com/blister/ https://bvfootclinic.com/blister/#respond Tue, 27 Aug 2019 00:21:46 +0000 https://bvfootclinic.com/?p=3211 Blister When to see a doctor There are certain developments that you should keep an eye out for. Specifically, if your blister becomes discolored, inflames disproportionately, or fails to heal, you should seek out your care physician as soon as possible. If your blister begins to show a yellow, green or purple hue, this is…

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Blister

When to see a doctor

blister on heel

Woman applying an adhesive bandage on a wound on her heel.

There are certain developments that you should keep an eye out for. Specifically, if your blister becomes discolored, inflames disproportionately, or fails to heal, you should seek out your care physician as soon as possible.

If your blister begins to show a yellow, green or purple hue, this is a likely sign of infection that would require medical attention. While an infection is most likely, abnormally colored blisters can also point to potentially serious underlying condition, such as herpes.

When seeing a doctor, the likely course of action they’ll take is to pop the blister. While it is very dangerous to attempt to pop a blister at home, the risk for infection is minimal when performed properly, and your doctor will utilize a sterile scalpel/needle to make an incision. Usually there will be a sample taken from the skin to test for potential issues.

Topical or oral antibiotics are often prescribed as a treatment option for existing infections or to prevent them all together.

Prevention

blister treatment

Female is putting adhesive plaster on her two heels at home.

To avoid blisters, you should avoid wearing wet or sweaty footwear, as the friction between your feet amplifies when your skin is weakened by the moisture.

Typically blisters develop from a combination of rubbing and pressure; however, there are a few additional factors that can lead to blister formation.

Here are some common factors that can lead to blisters on the feet:

  • humid or damp conditions
  • warm environments
  • poorly-fitted footwear
  • Footwear that has not been broken in
  • long-distance walking or running
  • repetitive motion, such as an increase in mileage on your daily walks
  • excessive sweating
  • vigorous side to side or back and forth movements
  • improper footwear for the task at hand
  • wearing thin socks
  • wearing shoes without socks
  • orthotics that are new or shift in the footwear
  • heavy lifting
  • foot abnormalities that compromise the integrity of the footwear
  • dry skin
  • age, since the skin degenerates over time
  • synthetic socks that restrict airflow

To prevent blistering in problem areas, you can apply a moleskin, foot tape or talcum powder to reduce the chances of occurrence.

Certain bandages are also designed to help cushion delicate skin.

Orthotics that can add extra padding may reduce impact and pressure on your feet. Glueing your insoles can reduce friction.

Blister Outlook

blister baby toe

Blister on little toe of right foot

As long as you proactively take steps to reduce the likelihood of blisters occurring, your outlook should be fairly positive.

In the case you do develop a blister, it is best that you try to protect it and let it heal on its own.

If the blister displays any abnormal signs or symptoms, medical help should be sought out.

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Treating Your Ingrown Toenail https://bvfootclinic.com/treating-your-ingrown-toenail/ https://bvfootclinic.com/treating-your-ingrown-toenail/#respond Thu, 01 Aug 2019 00:26:33 +0000 https://bvfootclinic.com/?p=3157 Treating Your Ingrown Toenail An ingrown toenail is a painful medical condition that can affect anyone regardless of age or other medical conditions. Luckily, there are a variety of treatments that can help repair an ingrown toenail. Do not ignore an ingrown toenail. It is important to pay a visit to a healthcare provider. Only…

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Treating Your Ingrown Toenail

ingrown toenailAn ingrown toenail is a painful medical condition that can affect anyone regardless of age or other medical conditions. Luckily, there are a variety of treatments that can help repair an ingrown toenail. Do not ignore an ingrown toenail. It is important to pay a visit to a healthcare provider. Only a medical professional can make a complete diagnosis taking into account all pertinent factors including past medical history and underlying conditions. Other medical problems and conditions can resemble the symptoms of an ingrown toenail to an unqualified person. Local trauma, tumors, toe fungus and foreign objects embedded under the skin may look like an ingrown toenail but require a different treatment plan. An ingrown toenail is caused when the edge of the toenail bends downward and become imbedded into the skin on the toe. An ingrown toenail can often happen after trimming your toe nail too short or if your shoes are too tight or short.

Ingrown Toenails: Possible Complications

If an ingrown toenail persists over a long period of time, it can have serious consequences. It is not uncommon to develop a paronychia (localized) infection along the area where the nail edge cuts into the skin. If not treated a paronychia infection can develop into a dangerous deep, soft-tissue infection (called cellulitis), which can further advance into a very serious bone infection (called osteomyelitis). 

Complications from an ingrown toenail can additionally include: 

  • Nail Fold Hypertrophy: Scarring of the skin and nail borders surrounding the site.
  • Onychodystrophy: Thickening or deformation of the nail. 
  • Onychomycosis: Fungal infection of the toenails.

The soft tissue at the site of the nailfold may become enlarged. It will frequently bleed and drain.

ingrown toenail treatment

Selecting a Healthcare Professional to Treat your Ingrown Toenail

Most practicing medical professionals are qualified to treat a simple ingrown toenail. Many people may first visit their family physicians, urgent-care walk-in physicians, pediatricians or dermatologists when seeking treatment for an ingrown toenail. With that said, podiatrists are doctors that specialize in the foot and ankle. They are uniquely qualified in the medical community to treat your condition. He or she will likely have much more experience dealing with conditions such as yours, plus a podiatrist’s office will be equipped with all the required instruments necessary to perform a variety of ingrown toenail procedures.

call today 878-313-3338 for an immediate appointment

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Tattoo Removal: Do’s & Don’ts https://bvfootclinic.com/tattoo-removal-dos-donts/ https://bvfootclinic.com/tattoo-removal-dos-donts/#respond Thu, 04 Jul 2019 14:22:11 +0000 https://bvfootclinic.com/?p=3123 Tattoo Removal: Do’s & Don’ts Tattoo Removal: Do’s  Ice and elevate the area the night after treatment. Use antibacterial soap and warm water to clean the treated area three times a day for two weeks.  Cover the treated area securely to avoid infection. Disinfect the area promptly if it is exposed to dirt or bacteria,…

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Tattoo Removal: Do’s & Don’ts
Tattoo Removal: Do’s & Don'ts

Tattoo Removal: Do’s & Don’ts

Tattoo Removal: Do’s 

  • Ice and elevate the area the night after treatment.
  • Use antibacterial soap and warm water to clean the treated area three times a day for two weeks. 
  • Cover the treated area securely to avoid infection. Disinfect the area promptly if it is exposed to dirt or bacteria, until the area is completely healed. 
  • Treat the area gently until it is fully healed.
  • Rub a VERY thin layer of Aquaphor on the area and apply a non-stick pad over it until the treated area is healed (this takes between three days to two weeks).
  • Drink a gallon of water daily. This will help flush out the fragmented ink.
  • After the area is completely healed, apply sunblock two times a day until your next appointment with a specialist.
  • Keep the area covered and avoid sunlight for at least two weeks. Direct sunlight increases your risk of developing hypo- or hyper-pigmentation spots.
  • If the area becomes itchy, apply cold compresses, benadryl and hydrocortisone cream.
  • Allow any blisters to heal by themselves. If you develop blisters, cover them with a non-stick pad until they heal.
  • Improve circulation in the healing area. Gently massage the area for 5 to 10 minutes daily. Engage in light physical activities. Take a walk to increase your circulation. This will kick your lymphatic system into overdrive, helping remove the fragmented ink.

Tattoo Removal: Don’ts

  • Tattoo Removal: Do’s & Don'ts

    Doctor bandaging foot patient after tattoo removal

    Avoid any physical activities that may cause an increase in body temperature, sweating or a raised heart rate for at least 24 hours after treatment. 

  • Don’t participate in other activities that will increase your body temperature like sitting in a hot tub or sauna for 24 hours post-treatment.
  • Don’t use the soap with scents or perfumes. These can irritate the skin and cause the healing to take longer.
  • Do not forcefully spray the treated area with water from a hose or powerful shower.
  • Don’t suffocate the skin with a thick layer of Aquaphor. By doing so, you risk infection and scarring. If scabs form, LEAVE THEM ALONE. 
  • Stay away from carbonated drinks, alcohol or smoking while healing. An excessive amount of any of these will slow down your body, delaying the healing and fading process.
  • Avoid scratching or itching the treated area until it is 100% healed.
  • Don’t scratch or pop the blisters! This will increase the possibility of infection and risk scarring.
  • Don’t just sit around. Get your blood moving.

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Laser Tattoo Removal and Swimming https://bvfootclinic.com/laser-tattoo-removal-and-swimming/ https://bvfootclinic.com/laser-tattoo-removal-and-swimming/#respond Sun, 30 Jun 2019 19:24:13 +0000 https://bvfootclinic.com/?p=3118 Laser Tattoo Removal and Swimming Some people come in to the office and ask about swimming during the tattoo removal process. There are no concerns with swimming before starting laser tattoo removal. It is completely safe. What is a concern is swimming after a treatment session. You should wait between three to four days after…

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Laser Tattoo Removal and Swimming

Some people come in to the office and ask about swimming during the tattoo removal process. There are no concerns with swimming before starting laser tattoo removal. It is completely safe. What is a concern is swimming after a treatment session. You should wait between three to four days after each of your laser tattoo removal session before you go swimming. It is not recommended to go swimming immediately after laser tattoo removal because the skin in the treated area is still recovering from the laser.

It is sensitive to the heat, sunlight, irritation, and infection.

Accordingly you should avoid putting the treated area in any water that could be too hot or dirty for the first few days after treatment. Stay away from water altogether except for baths and showers. This includes hot tubs, pools, lakes, rivers, and oceans because they can contain infection-causing bacteria. When you do take a bath or a shower, make sure that the water isn’t too hot and don’t let the shower beat directly on the treated area for very long. Both of these may cause irritation to the treated area.

If you happen to come in contact with dirty water, it’s not the end of the world. Just be sure to take action quickly. Wash the area thoroughly with antibacterial soap and clean water. Apply ointment and bandages if needed. If you notice any signs of an infection, contact your family doctor right away.

Oceans and public pools can be filled with all kinds of surprises. You just never know what you’re going to find in there. Avoid these bacteria-laden bodies of water as much as you can for the first several days after a laser removal sessions is your safest bet. By doing so, you will lower your risk of contracting an infection or the skin becoming irritated. We recognize that it may be difficult to resist the call of a cool swim on a hot summer day but the more you do, the better chance you have a staving off a possible infection and seeing better results during the tattoo removal process.

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Does laser tattoo removal hurt? https://bvfootclinic.com/does-laser-tattoo-removal-hurt/ https://bvfootclinic.com/does-laser-tattoo-removal-hurt/#respond Sat, 29 Jun 2019 08:54:50 +0000 https://bvfootclinic.com/?p=3113 Does laser tattoo removal hurt? This is one of the most common questions asked by patients before getting a laser tattoo removal, and for good reason. No one enjoys painful procedures. The answer to this question can vary depending on a few factors, but in the majority of cases laser tattoo removal does cause a…

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Does laser tattoo removal hurt?

laser tattoo removalThis is one of the most common questions asked by patients before getting a laser tattoo removal, and for good reason. No one enjoys painful procedures. The answer to this question can vary depending on a few factors, but in the majority of cases laser tattoo removal does cause a fair amount of pain. Some people compare it that of scratching a sunburn or of snapping a rubber band on your skin. Most people say that it hurts less than it did when they got their tattoo. So if you were able to sit through the pain of having the tattoo done, you should be able to get it removed no problem. In most cases patients expect the pain to be much worse than it turns out to be.

The size of the area will affect how painful it is. The larger the area, the more pain you will notice. There are also certain areas of the body that are more sensitive than others. For example, areas with more fat tend to hurt less. This includes the arms and legs. The fat acts as protection for the bones, which can be a source of pain. Areas with less fat, like the ankles, fingers and neck are much closer to the bones. This tends to cause more pain.

Pain tolerance is also a factor in how unpleasant the experience can be. It’s a good idea to bear in mind that everyone handles pain in their own unique way. These differences can lead to disparate experiences regarding the level of pain that one may perceive. Some people describe their laser tattoo removal session as very painful while others report almost no pain at all. Most people find that they are somewhere between the two extremes. Almost almost all cases, going into the laser tattoo removal process having a positive attitude will make the experience better. It likely won’t be as bad as you are think it will be.

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Can’t sleep cold feet https://bvfootclinic.com/cant-sleep-cold-feet/ https://bvfootclinic.com/cant-sleep-cold-feet/#respond Tue, 26 Mar 2019 00:03:30 +0000 https://bvfootclinic.com/?p=2424 Can’t sleep, cold feet If you are having trouble finding truly restful sleep at night, you might be surprised to find out that cold feet may be the source of your dismay. When asleep, cold feet can constrict the blood vessels, causing an imbalance in circulation overall. According to the National Sleep Foundation, when you…

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Can’t sleep, cold feet

cold feet

If you are having trouble finding truly restful sleep at night, you might be surprised to find out that cold feet may be the source of your dismay. When asleep, cold feet can constrict the blood vessels, causing an imbalance in circulation overall. According to the National Sleep Foundation, when you warm up your feet there are signals sent to your brain telling it that it is time for sleep.

The best solution is actually pretty easy to do: socks. Wearing socks to bed is easily the best and safest way to warm your feet overnight. Alternative methods could potentially burn your feet in the night, such as rice socks, warm water bottles, or a heated blanket.

While wearing socks at night can help your sleep, there are other benefits to be found by adapting this habit.

Why you should sleep with socks on

Beyond keeping your body warm, wearing socks to bed also has these extra benefits:

  • In some women, wearing socks can help regulate a cool body temperature and prevent hot flashes.
  • Cotton socks can help moisturize cracked heels, and further prevent dry spells.
  • According to the BBC, an accidental discovery was made by researchers that were studying the effects of socks on sleep: participants reported an increased ability to achieve an orgasm by 30% after altering their sleep to include wearing socks.
  • Wearing socks at night can help prevent Raynaud’s disease, which is a condition that occurs when the toes and fingers begin to lose circulation and swell. Keeping your socks on can warm your feet and improve circulation.

What socks to wear

The type of socks you were can do a lot for you, or very little. Natural soft fibers such as merino wool and cashmere are the optimal choice. These often cost more than cotton or artificial fiber socks though. Make sure that when you buy socks that you don’t pairs that are too tight! The point is to improve circulation, not minimize it.

cbd oil images

To enhance circulation

  1. Before getting into bed, give your feet a massage to open up those blood vessels.
  2. Adding natural circulatory boosters into your massage oils can help blood flow even more. One example of one such booster is capsaicin.
  3. If you put your socks on when they are warm you’ll notice an improvement. Try to sit on them before bed or use a hair dryer.

If at any point you are too hot in bed, you can simply take off your socks or sick your feet out from under the blanket.

Pulling up your socks

Alternative bonuses exist for wearing different types of socks. Wearing compression socks can help with swelling. Padded socks can help if your feet hurt while walking. Compression socks can be difficult to put on. Invest in a sock aid to help you out and make an easier time of it.

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