My Blog
By DANIEL METHUSELAH, DPM
April 27, 2018
Category: Foot Care
Tags: Bunions  

BunionsWhat is a Bunion?

Are you dealing with a bunion? A bunion is a protrusion of the bone at the base of the big toe. While a bunion may seem like a bump, according to the (APMA) American Podiatric Medical Association a bunion is actually the enlargement of the joint at the base of the big toe – the metatarsophalangeal (MTP) joint. While bunions are a common foot disorder, it is not something that you should ignore as bunions can cause discomfort and become inflamed if left untreated.
 

What Causes Bunions?

Bunions can be hereditary and aggravated by the shoes you wear, especially high heels or shoes that don’t have enough room for your toes. Certain factors can also contribute to the development of bunions, such as if you have flat feet or low arches or if your feet pronate (when the ankles roll in towards each other during movement and cause excessive and prolonged pressure on the joints in the feet). If you are dealing with bunions, or think that you are, it’s important to seek help from a qualified podiatrist to get the care you need to relieve your pain and discomfort.
 

How a Podiatrist Can Help

Your podiatrist may recommend certain conservative at home steps you can take to minimize the discomfort. The first thing they may recommend is that you look at or change the kind of shoes you wear. It’s important to find shoes that are wide enough to accommodate your toes. Shoes such as high heels are likely to make the problem worse. Bunion pads can also help with your discomfort.
Severe bunion pain can restrict your mobility. Untreated bunions can continue to get worse if you don’t do something about them and can lead to other issues such as calluses and corns, or you may experience pain or redness on the site of the bunion, as well as swelling.
Other treatment options include orthotics or a combination of physical therapy and medication to relieve pressure and inflammation of the bunion. In severe cases, surgery may be needed to resolve the issue.
 

Prevention is Key

We all like to remain active, and oftentimes it is the result of this activity that can make your bunion pain worse. You should visit your podiatrist if you notice any issues so they can be caught and treated as early as possible. Call our office today.

Bunions, hammertoes, arthritis -- foot surgery is the final remedy many different kinds of pain in the foot and ankle. These problems of the foot can cause severe pain in some patients, and relief can often be found through alternative treatments. In extreme cases though, these alternative treatments won’t be effective, resulting in the need for foot surgery. Your podiatrist will work with you to determine the best treatment option for your ailments.

Bunion Surgery

Bunion surgeries fall into two major categories:

  • Head procedures that treat the big toe joint
  • Base procedures concentrate on the bone near or behind the big toe joint. 

Most bunion surgeries are performed on an outpatient basis at a surgical center or hospital. It is important to set aside an entire day for your surgery, even though you may be in the facility for only half a day. Bunion surgery is usually performed with a local anesthetic and it can be combined with a sedation medication to put you into a “twilight” sleep so that you are fully relaxed for the procedure.  

After surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive you home. The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients may have to use crutches, while others may be sent home wearing a surgical shoe.  

During the first week after surgery, you will need to keep your foot elevated as much as possible. Ice packs should also be applied for the first three to four days to reduce swelling. Limited walking is often required over the first two weeks to promote healing. Your podiatrist may also instruct you on some basic exercises that need to be performed daily.

Ankle Surgery

Ankle surgery may be required to correct a serious deformity of the ankle and its bone structure. Injury, birth defects or changes throughout the course of life are the usual culprits. Disease, such as diabetes, rheumatoid arthritis and neuromuscular conditions, may cause severe foot and ankle deformities that, over time, cause pain and difficulty walking. Surgeries of the ankle emphasize the realignment of the structure either around or after removal of the deformity.

Various kinds of internal and external fixation devices are often required to maintain the appropriate alignment during, and beyond the healing process. Varying in complexity and severity, many ankle surgeries are conducted on a same-day, outpatient basis. Patients need to arrange for another person to take them home after surgery and to stay with them for the first 24 hours following the surgery. Post-operative instructions provided by your podiatrist will give you the information needed to care for your recovering ankle following surgery.  

When foot problems occur, your feet deserve your full attention and the care of your podiatrist. Foot surgery can often be avoided with conservative treatments, but if your foot pain is excessive foot surgery may be the best solution. Contact your podiatrist in today for further consultation and treatment of your foot ailments.  

By DANIEL METHUSELAH, DPM
March 06, 2018
Category: Foot Care

An ingrown toenail is a common and painful condition of the toes. It occurs when one or both sides of the nail break grow into the skin of the toe, rather than over it. As a result, the irritated skin becomes painful, red and swollen. Fortunately, when detected early, an ingrown toenail can generally be treated effectively from home. But when left untreated, an ingrown toenail is prone to infection, as bacteria can enter your body via the penetrated skin. Professional treatment from your podiatrist is necessary to treat the infection. 

Self-Care for Ingrown Toenails

Regardless of the cause, understanding how to care for an ingrown toenail can go a long way to help prevent painful infections. In its earliest stage, an ingrown toenail can generally be cared for and successfully treated from home. For non-infected nails: 

  • Soak your foot in warm water several times a day to relieve swelling and soreness.
  • Wash and dry your foot to keep the affected area clean.
  • Wear comfortable footwear with a wide toe box, or sandals when weather permits.
  • Avoid cutting the nail, as this can make the condition worse.
  • Over-the-counter medications may temporarily ease the pain, though they don’t heal the underlying problem.

Conservative treatments won’t always be successful. When excessive swelling, pain or discharge is present, the toenail is most likely infected and should be treated by your podiatrist.  If you have diabetes or nerve damage, avoid home treatment and see your podiatrist for safe and professional care. 

Preventing Ingrown Toenails is Easy

With a few simple precautions, you can easily prevent ingrown toenails. 

  • Wear properly fitting shoes and socks that allow for adequate toe room.
  • Trim your toenails straight across, and avoid cutting them too short.
  • Keep your feet clean and dry, as this prevents bacteria formation.

Ingrown toenails are a very common condition of the toes. The key to avoiding ingrown toenails is to prevent them from occurring in the first place. Your podiatrist can administer treatment, such as an oral antibiotic or a minor surgical procedure, to stop the pain and remove the infection. Call today to schedule an appointment!

By DANIEL METHUSELAH, DPM
February 07, 2018
Category: Foot Care

During the school year, your children maintain their normal school routine with frequent activities and are constantly on the go. In order to maintain their busy schedules, it is vital that their feet are protected against the aches and pains of non-stop daily activities. From infants and toddlers to high school kids, the need for continual foot relief is constant. Pain in your child’s foot or ankle is never normal, as there is no such thing as "growing pains." Your podiatrist should evaluate any pain that lasts more than a few days, or that is severe enough to limit the child’s walking, as soon as possible.  

Infants and Toddlers

Whether your infant or toddler is in school or daycare, their feet need extra protection early on to promote healthy feet later on in their lives. The size and shape of your baby’s feet change dramatically during their first year. Too much pressure or strain can affect the shape of their feet as a baby’s feet are flexible. When choosing shoes for your baby make sure their shoes and socks do not squeeze the toes as this can cause damage to their precious toes. 

As your infant continues to grow, it is important not to force your toddler to walk before he or she is ready to. Once your toddler does begin to walk, watch your toddler’s gait – the way in which they walk. Many toddlers may have a pigeon-toed gait, which is normal, while some initially learn to walk landing on their toes instead of their heels. Most children will outgrow both of these problems, but other conditions detected early can be treated more easily.  

Proper Shoes for Your Children

Before you head to the store to buy your kids shoes, follow some simple guidelines provided by your podiatrist to prevent or minimize foot problems from poorly fitting or worn out shoes. Your child’s feet can grow up to two sizes in six months, so you need to account for growth when purchasing new shoes. This doesn’t mean that you need to buy shoes that are too big, as oversized shoes cause the foot to slide forward, putting excessive pressure on the toes. A well-fitting shoe has about a finger’s width from the end of the shoe to the tip of the big toe.  If your child’s shoes are too tight, they can cause blisters, corns, calluses, or ingrown nails that become can become infected.  

Shoes will lose their shock absorption over time, so it is important to inspect new and old shoes for proper cushioning and arch support.  If your child’s shoes exhibit wear and tear around the edges of the sole, replace them with new shoes that have adequate support. When buying new shoes, check to see that the toe box flexes easily and the shoe does not bend in the middle of the sole. Worn-out shoes elevate the risk for heel pain, Achilles tendonitis, and even ankle sprains – be sure to replace then as soon as possible.  

Remember to check your child’s shoe size often, as they will continually change shoe sizes as they grow. With your podiatrist’s care, the risk of bone problems can be reduced. Contact your podiatrist today if your child is experiencing any pain in their feet due to injury or abnormal growth.

Fungal ToenailsA fungal infection in one of your toenails can be both uncomfortable and unsightly. To fix the problem, there are both topical and oral treatments that can be used. If you are suffering from a fungal toenail, see your podiatrist as soon as possible. 
 
Fungal toenails tend to affect older men most frequently. As you get older, there is a diminished flow of blood to your toes and a longer period of exposure to fungi. Here are a few more of the most common factors that can increase your chances of getting a fungal toenail:
  • Walking barefoot in wet public areas. Walking without shoes in swimming pools, showers or gyms can increase your chances of a fungal infection.
  • Sweating heavily. If your feet are constantly sweaty, fungus will be more likely to survive and thrive near your toes in your shoe. 
  • Diabetes. Diabetes restricts the flow of blood to the extremities. Because of this, your immune system will be less prepared to fight off the fungal infection.
  • Poor shoes. If you wear shoes that do not ventilate or effectively absorb perspiration well, fungus will be able to thrive near your feet. 

Options To Treat Fungal Toenails

There are over the counter creams and ointments available, but they are generally not as effective as prescribed medications from your podiatrist. When you see your podiatrist, depending on the severity of the infection, they will usually prescribe either an oral medication or a topical cream. 
 
Oral medications are generally taken for 6 to 12 weeks. They work by helping a new nail to grow without any infection, and because of this, the infection resolves somewhat slowly. It will take roughly four months for the nail to truly heal. Your podiatrist may also prescribe a topical medication that you will apply directly to your toenail. 
 
In the most extreme cases, your podiatrist may perform surgery to remove your nail. If this happens, your nail will grow back very slowly, possibly taking up to a year to fully grow back.
 
To learn more about how to treat your fungal toenail or to schedule an appointment, contact your podiatrist today!




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