Posts for category: Foot Condition
Swelling, reddened flesh, shooting pain, and pus are just some of the incredibly uncomfortable symptoms of having an ingrown toenail. Although this condition can sometimes be successfully treated through home remedies, ingrown toenails often progress to the point of infection, a point that then requires professional treatment. Read on to learn what causes this problem, when it’s right to seek medical help, and how our podiatrists can help get your foot back to a healthy state!
The Causes and Symptoms
Before we cover how to treat ingrown toenails, let’s first review the core causes and symptoms that hallmark this condition…
Ingrown toenails initially develop due to a few different factors, including:
- Cutting the toenail too short
- Rounding the toenail during grooming
- Wearing improperly fitting shoes
- Experiencing toe trauma
If the flesh on the side of the toe has become red, swollen, and tender, you likely have an ingrown toenail. If you have caught this problem while it’s still in its early stages, you can try implementing some of the home remedies listed in the next section. However, if your toe is exhibiting some of the following signs of infection, you should seek professional podiatric help:
- Pervasive shooting or throbbing toe pain
- Regular bleeding
- The presence of a pus-filled blister
- The skin has started growing over the nail
As mentioned above, if an ingrown toenail is caught before infection sets in, there are a few different methods that you can practice at home in order to clear up the issue. Some of these include:
- Around 3 to 4 times a day, submerge your foot into warm water for 15 to 20 minutes. Regularly doing this should reduce swelling and provide pain relief.
- Following each soaking, use cotton to separate the ingrown toenail from the flesh that it is starting to grow under. This should allow the nail to grow above the skin again.
- Avoid snug or constraining shoes.
If these actions fail to clear up the problem in 2 to 3 days, you should pursue professional treatment.
In the case of a severe or recurring infection, there are a few different procedures that your podiatrist can perform to make your toe healthy again. Depending on the specifics of your ingrown toenail, one of the following treatments may be recommended:
- Partial Nail Removal: In the case of a severe ingrown toenail, your doctor can numb your toe before physically removing the ingrown portion of the nail.
- Nail and Tissue Removal: If the same toe is repeatedly experiencing the same ingrown toenail problem, this procedure can be performed to prevent future recurrences. It entails your podiatrist removing a portion of the underlying nail bed, thus preventing the nail from become ingrown again.
Concerned About Your Toe? Give Us a Call!
If your ingrown toenail needs medical attention, call our podiatric office today!
Understanding Heel Pain with Help from Your Podiatrist
- Wear shoes that fit well
- Wear proper shoes for each activity
- Do not wear shoes with excessive wear on heels or soles
- Prepare properly before exercising by stretching and warming up
- Pace yourself when you participate in athletic activities
- Don’t underestimate your body’s need for rest and good nutrition
- Lose excess weight
When most people think about foot deformities they most often think about bunions; however, hammertoes are just as common. This unassuming deformity comes about gradually, so you may not even notice it until it’s too late. “What is a hammertoe?” You might be wondering. A hammertoe affects the middle joint of a toe (often the smaller toes), causing the toe to bend downward. In severe cases, a hammertoe will look almost claw-like.
There are two kinds of hammertoes: flexible and rigid. As you might imagine, a flexible hammertoe is one in which you can still straighten the toe out. If you aren’t able to straighten the affected toe then this is a rigid hammertoe. A flexible hammertoe isn’t as serious as a rigid one; however, it’s important that you take care of your hammertoe to make sure that it doesn’t get worse.
While there is no way to cure a hammertoe there are simple measures you can take to prevent it from progressing. First and foremost, you need to take a look at the shoes you are wearing and make sure that they aren’t too tight. When you slip your feet into your shoes, does it cause your toes to bunch up against one another? If so then this could make your hammertoe worse.
Instead, opt for shoes with an ample toe box, which will allow your toes to wiggle and move around freely. If you have a structural imbalance within the foot this can leave you prone to foot problems such as hammertoes and bunions. To correct this imbalance, talk to your foot doctor about getting custom orthotics (shoe inserts), which can be placed into your shoes to help provide cushioning, support, and shock absorption for your feet.
If pain or stiffness does rear its ugly head you can choose to take an over-the-counter pain reliever like ibuprofen, which can tackle both pain and inflammation in one fell swoop, or you can place a towel-wrapped ice pack (never put ice directly on the skin, as it can cause severe burns) over the area for several minutes.
Just as you can buy pads to cover a bunion or callus, you can also buy a non-medicated protective pad to cover over a hammertoe. Since the deformed toe joint juts out this can leave the toe prone to calluses, which can cause pain when wearing shoes. To prevent a callus from forming, you can apply a protective pad over the deformed toe joint before putting on shoes.
Of course, if you are dealing with significant or frequent pain, or if the hammertoe is rigid, then you will want to turn to a podiatric specialist. In severe cases, surgery may be recommended to correct the disfigured joint.
Maybe you've heard of carpal tunnel syndrome, a condition in the wrist that occurs when swelling or a change in position of the tissue within the carpal tunnel squeezes and irritates the median nerve. Similar to carpal tunnel syndrome is tarsal tunnel syndrome, an ankle condition that occurs from the compression of a nerve in a confined space.
What is Tarsal Tunnel Syndrome?
The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve - the main focus of tarsal tunnel syndrome.
Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:
- Injury to the ankle, which may produce swelling near the nerve.
- Abnormal blood vessels or cysts that occupy space within the tunnel.
- Scar tissue that press against the nerve.
- Foot deformities, such as flat feet, which increase strain on the nerve.
- Systematic diseases, such as diabetes or arthritis.
When patients visit us at our office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:
- Burning or tingling sensation
We Can Help
If you experience pain, burning and tingling in your feet or toes, make an appointment with our office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended.
Plantar warts are benign growths that develop on the bottom of your feet, and are caused by direct contact with the human papilloma virus (HPV). This is the same virus that causes warts on other areas of the body. Some people are more susceptible than others to HPV, and not everyone will develop plantar warts if they come into contact with the virus. Individuals with weak immune systems or damaged skin on the feet are at a higher risk for plantar warts.
Plantar warts most often develop on the weight-bearing areas of the foot - the heel or the ball of the foot - causing sharp, burning pain. They can appear as a single wart (solitary) or a cluster of warts (mosaic). Common symptoms may include:
- Pain or discomfort when walking or standing
- Thick, scaly skin that often resembles a callus
- Hard, flat growths with well-defined boundaries
- Tiny black specks (clotted blood vessels) that often appear on the surface of the wart
Most warts disappear with home care and do not require medical treatment. You can take steps to prevent and treat plantar warts, which include:
- Changing your shoes and socks daily
- Keeping your feet clean and dry
- Avoid picking at warts as the virus may spread
- Avoid direct contact with an individual who has plantar warts
- Checking your child's feet periodically
- Refrain from walking barefoot, especially in public areas like showers, swimming pools and locker rooms
- Never ignore skin growths or changes in your skin
You should always seek care from a podiatrist when warts interfere with your daily life, aren't responding to home treatments, or if you have circulatory disorders. Contact us if your warts:
- Change color or shape
- Cause unbearable pain and discomfort
- Interfere with activities
- Multiply or reappear
Without treatment, plantar warts can grow, spread and prompt new warts to grow as fast as the old ones disappear. If you can't confidently identify a growth on your foot, visit your podiatrist to ensure a correct diagnosis. Early diagnosis and treatment can decrease the risk of the wart spreading and multiplying.