Posts for category: Foot Condition
Are you dealing with pain, burning, tingling or numbness between your toes or in the ball of the foot? If you said “yes” then you could be dealing with a neuroma, a pinched nerve or benign tumor of the nerve that is often found between the third and fourth toes.
The classic symptom of a neuroma is pain, particularly when walking—a factor that leads many people to liken the condition to feeling like a pebble is in their shoe. You may find that the pain eases up whenever you aren’t walking or when you rub the pained area with your hands. While neuromas can happen to anyone, they are most commonly found in women.
While the causes of a neuroma are still not clear, there are factors that can increase the likelihood of developing one, such as:
- Extremely high arches
- Flat feet
- Trauma that leads to nerve damage in the feet
- Improper footwear (high heels over two-inches tall; pointed toes)
- Repeated stress placed on the foot
Treating a Neuroma
A neuroma will not go away on its own, so it’s important to see a podiatrist if you are experiencing any of the condition's symptoms. The type of treatment or treatments recommended to you will depend on the severity of the neuroma.
Those with minor neuromas may be able to lessen symptoms by wearing shoes that provide ample room for the toes and offer thick soles that provide more support and cushioning for the toes and balls of the feet. Sometimes a podiatrist may recommend custom orthotics to place inside the shoes, as well.
Your podiatrist may also recommend padding or taping the ball of the foot to improve faulty biomechanics and reduce discomfort. While medication will not eliminate the problem, it can temporarily alleviate symptoms. Over-the-counter anti-inflammatories can often briefly reduce pain and swelling, but for those dealing with more severe pain, steroid injections may be necessary to ease symptoms.
Surgery for a Neuroma
Surgery only becomes necessary when conservative treatment options have failed to provide relief, or when the neuroma has progressed enough that conservative care won’t be enough. During surgery, the inflamed nerve is removed through a simple outpatient procedure. Afterward, there is a short recovery period of a couple of weeks before patients are able to move about pain-free once again!
Give us a Call!
If you are dealing with new or worsening foot pain it’s important that you turn to a podiatrist that can help give you the answers you need. Schedule an appointment today.
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!
What is Sesamoiditis?
Sesamoids are small bones that are only connected to tendons or surrounded in muscle. This only appears in a few places in the body, one of which is the foot. Two very tiny sesamoids are found in the underside of the foot near the big toe. One is on the outer side of the foot and the other bone is close to the middle of the foot. This structure provides a smooth surface for the tendons to slide over, which helps the tendons move muscles. They help with weight bearing and also help to elevate the bones of the big toe. So now that you know what sesamoids are, you might be wondering what sesamoiditis is and what its symptoms are.
Just like any other bone, sesamoids can unfortunately fracture. The tendons surrounding the sesamoids may also become irritated or inflamed and this is what sesamoiditis is. Sesamoiditis is also a form of tendonitis and is a common condition among ballerinas, runners, and baseball catchers due to the pressure that is constantly placed on their feet.
Symptoms of Sesamoiditis
Symptoms of Sesamoiditis may include:
- Pain under the big toe or ball of the foot
- Swelling and/or bruising
- Difficulty in bending and straightening the big toe
- Resting and stopping any activity that could be causing pain and inflammation
- Anti-inflammatories, such as ibuprofen and aspirin only after consulting your physician
- Icing the sole of the foot
- Wearing soft-soled and low-heeled shoes
- Cushioning inserts in the shoes
If symptoms persist after treatments, you may need to wear a removable brace for 4-6 weeks to help the bones heal. Call your podiatrist today to ask any questions about sesamoiditis and get on your way to pain-free feet once again!
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.
Corns are thickened areas of skin that develop in response to excessive pressure and friction. This can occur when one toe rubs repeatedly against another or when the toes rub against ill-fitting footwear. Typically hard and circular, corns are usually not a serious problem, but can be quite painful if untreated, especially when wearing shoes.
How Are Corns Treated?
Since corns are often symptoms of underlying problems, such as faulty bone structures or abnormal gait, self-treatment should only involve footwear modification. Never attempt to cut or scrape away a corn on your own, as this can lead to infection. It’s best to consult a podiatrist first, as many times over-the-counter treatments fail to effectively treat the underlying foot disorder and can damage the healthy surrounding skin if used incorrectly.
A podiatrist will assess your corn, determine the cause and help you determine a treatment plan to manage the pain and eliminate the pressure that is causing the corn. These conservative treatments may include padding to prevent pressure, footwear modifications and orthotics to relieve stress under the foot. When pain is persistent or conservative treatment isn’t effective, minimally-invasive surgical correction may be recommended to remove the corn or repair the bone structure beneath the corn.
The surgery can often be performed in the doctor's office, the recovery time is brief and many patients obtain relief within days. Corns always require consultation with an experienced podiatrist. When treated early, most corns can be resolved with non-surgical treatments.