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The Inconvenience of an Ingrown Toenail

The Inconvenience of an Ingrown Toenail

An ingrown toenail can make putting on a pair of shoes or walking difficult. While it is not a serious problem, it is an irritating one and something that can turn into an infection if not tended to. Healthy toenails grow out and away from the base of the nail bed. An ingrown toenail is when the toenail grows into the side of the cuticle. In severe cases, the skin will fold over the nail. Ingrown toenails typically happen on the big toe. The skin tissue at the cuticle will become red, sensitive, and inflamed, and there may be weeping pus. Some ingrown toenails are easy to treat by soaking in various oil or salt preparations and gently pulling the nail away from the skin, while others require minor surgery. While the ingrown nail is healing, it is important to trim the nail straight across. If the ingrown toenail is too painful to trim or if an infection develops, see a podiatrist as soon as possible who can do what is necessary—even a minor surgical procedure with a local anesthetic—to get you on the right track.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our podiatrists of Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Gout Pain Can Be Managed

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Everything You Need to Know About Gout

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Gout Flares

Gout Flares

Gout is a type of arthritis that presents sudden episodes of severe pain and swelling in the joints, often in the big toe. Range of motion in the big toe may become limited. Those with gout frequently experience flare-ups at night. Gout is the result of uric acid accumulating in the blood from purines in food, which triggers a buildup of crystals in joints. Diets rich in purines can lead to gout flares. There is uric acid medicine for this condition. However, it is best to manage symptoms through following a purine-restricted diet. Foods that are high in purines include shellfish, veal, venison, liver and other organ meats, alcoholic beverages – especially beer, kidney beans, lentils, and spinach. Those with gout should limit protein consumption overall and try to include plant-based sources of protein in their diets. If you experience periodic pain in your big toe and think you might have gout, consult with a podiatrist who can help you better understand and manage this condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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All About Plantar Warts

Plantar warts are warts that are only found on the feet, hence the term “plantar”, which means “relating to the foot.” They are caused by the human papillomavirus, or HPV, and occur when this virus gets into open wounds on the feet. The warts themselves are hard bumps on the foot. They are easily recognizable, mostly found on the heels or ball of the foot. Plantar warts are non-malignant, but they can cause some pain, discomfort, and are often unsightly. Removing them is a common step toward treating them.

Plantar warts can cause some pain while standing, sometimes felt as tenderness on the sole of your foot. Unless the wart has grown into the foot behind a callus, you will be able to see the fleshy wart. A podiatrist should only be consulted if there is an excessive amount of pain. Plantar warts are not cancerous or dangerous, but they can affect your walking and continually reappear. Anyone who suffers from diabetes or a compromised immune system disease should seek out care immediately.

Podiatrists are easily able to diagnose plantar warts. They usually scrape off a tiny bit of the rough skin to make tiny blood clots visible and examine the inside of warts. However, a biopsy can be done if the doctor is not able to diagnose them from simply looking at them. Although plantar warts usually do not require an excessive amount of treatment, there are ways to go about removing them. A common method is to freeze them off using liquid nitrogen, removing them using an electrical tool, or burning them off via laser treatment. For a less invasive treatment option, topical creams can be used through a doctor’s prescription. This treatment method takes more time, however. Keep the wart covered for protection in between daily treatments.

The best way to avoid developing plantar warts is to avoid walking barefoot in public places. Avoid this especially if you have open sores or cuts on your feet. It is also important to avoid direct contact with warts in general, as they are highly contagious.

Should My Plantar Warts Feel Itchy?

Should My Plantar Warts Feel Itchy?

There are a variety of skin conditions that affect the feet and can be quite threatening to the vitality of your feet. Plantar warts are one such condition. These warts can develop on the bottom of the feet when an individual is exposed to a form of human papillomavirus (HPV). This generally occurs from person-to-person contact or in warm, moist environments where HPV thrives. Plantar warts can be dangerous, potentially creating holes in the soles of the feet. Some individuals with plantar warts complain that the condition is quite itchy, and some report scratching at their plantar warts. Itchy plantar warts are not unusual. This is because the plantar wart is itself made up of dry skin that is flaking, which can be itchy. There are several things that you might be able to do at home to stop your plantar warts from itching. For example, you might be able to take an oatmeal bath to soothe the affected skin area. Additionally, you can try applying moisturizer to your plantar warts to get them to stop itching. The application of moisturizer can help replenish your feet with much-needed moisture, which can help the itching subside. Please see a podiatrist to learn more about how to treat your itchy plantar warts.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Elderly Foot Care

As you grow older, you will start to notice more problems with your feet due to wear and tear. This may also happen because the skin will start to become thin and lose elasticity. Some signs of aging feet are regular aches and pains, bunion development, and clawed toes.

Fortunately, there are ways you can improve comfort, relieve pain, and maintain mobility in your feet. One of the best ways to deal with aging feet is to exercise. If you keep active, your muscles will become toned which will then strengthen the arches in the foot and stimulate blood circulation.

It is important that you practice proper foot care to protect your aging feet. You should wash your feet in warm water on an everyday basis. Afterward, the feet need to be dried well and it is important to dry between the toes. Your toenails should be trimmed and kept under control; nails that are poorly cut may become ingrown. At the end of each day, performing an inspection of your feet will allow you to detect any ailments in their early stages.

As you grow older, it becomes more important that you wear comfortable shoes. Your shoes should be secure, and they should provide decent arch support. If you are looking to buy a new pair of shoes, it is best to look for a pair that are made from a breathable material. It is also helpful to have shoes that have a bit of extra room at the top of the shoe, especially if you suffer from swollen feet.

The most common foot problems that elderly people will encounter are bunions, calluses, corns, hammertoes, heel pain, and foot problems related to diabetes. Some other issues include arch pain, tarsal tunnel syndrome, Achilles tendonitis, and Morton’s neuroma

An annual foot examination is a great way for you to ensure that you do not have any serious health problems with your feet. You should talk to a podiatrist about the available treatment options for whichever foot issue you are dealing with.

How to Avoid Potential Foot Conditions in Elderly People

How to Avoid Potential Foot Conditions in Elderly People

It is normal for the feet to flatten and become wider as the aging process occurs. As the fatty padding gradually wears down, the joints and bones of the feet are more susceptible to basic wear and tear. Range of motion and balance may be negatively affected, and injuries can happen more frequently. Foot care for the elderly can start with washing and drying the feet thoroughly every day, and this may be helpful in preventing bacterial, fungal , and viral infections. This is generally followed by applying a good moisturizer on the feet, which may help to prevent cracked heels from developing. Many people wear cotton socks after this, and this can help to lock in the moisture. When the toenails are properly trimmed, conditions that can include ingrown toenails may be avoided. Many elderly people are confined to a bed or chair for the majority of the day, and bedsores on the heels may develop as a result of this. This can be remedied by raising the heels in the air, which is known as “floating the heels’.  There are additional ways that can help elderly patients take proper care of their feet, and it is suggested that you speak with a podiatrist to learn about these methods.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Sever's Disease

Sever's Disease

Sever's disease, also known as calcaneal apophysitis, is a medical condition that causes heel pain in children’s feet while they’re growing. Sever's disease occurs most commonly in boys and girls between the ages of 8 and 14.

Sever's disease occurs when the child’s growth plate, or the calcaneal epiphysis, an area attached to the Achilles tendon, is injured or when the muscles and tendons of the growing foot do not keep pace with bone growth. The result is constant pain experienced at the back of the heel and the inability to put any weight on the heel. This forces the child to bear weight on their toes while walking. When a toe gait develops, the child must change the way they walk to avoid placing weight on the painful heel. If this is not properly addressed, this can lead to further developmental problems.

The most common symptom of Sever's disease is acute pain felt in the heel when a child engages in physical activity such as walking, jumping or running. Children who are active athletes are among the group most susceptible to experiencing Sever's disease. This is due to the extreme stress and tension placed on their growing feet. The rolling movement of the foot during walking or running and obesity are both additional conditions linked to causing Sever's disease.

The first step in treating Sever's disease is to rest the foot and leg and avoid physical activity. Over the counter pain-relieving and anti-inflammatory medications can be helpful for reducing the amount of heel pain. A child with Sever's disease should also wear shoes that properly support the heel and the arch of the foot. Consider purchasing orthotic shoe inserts which can help support the heel and foot while it is healing. Most patients with Sever's disease symptoms report an eventual elimination of heel pain after wearing orthotic insoles that support the affected heel.

Sever's disease may affect either one heel or both. It is important for a child experiencing heel pain to be examined by a foot doctor who can apply the squeeze test. The squeeze test compresses both sides of the heel in order to determine if there is intense pain. Discourage any child diagnosed with Sever's disease from going barefoot as this can intensify the problem. Apply ice packs to the affected painful heel two or three times a day for pain relief.

Exercises that help stretch the calf muscles and hamstrings are effective at treating Sever's disease. An exercise known as foot curling has also proven to be very effective at treating Sever's disease. When foot curling, the foot is pointed away from the body, then curled toward the body to help stretch the muscles. The curling exercise should be done in sets of 10 or 20 repetitions and repeated several times throughout the day.

Treatment methods can continue for at least 2 weeks and as long as 2 months before the heel pain completely disappears. A child can continue doing daily stretching exercises for the legs and feet to prevent Sever’s disease from returning.

Children, Young Teenagers, and Sever’s Disease

Children, Young Teenagers, and Sever’s Disease

There is a growth plate in the heel of the foot that is known as the calcaneal apophysis. This is the area that connects the Achilles tendon and the plantar fascia to the heel. The foot condition that is known as Sever’s disease occurs as a result of excess tension on the Achilles tendon, or possibly from an injury to the heel. This generally affects children and young teenagers who participate in sporting activities. Common symptoms can include gradual heel pain, and many patients describe it as feeling like a bruise. Pain may be felt in the heel area only. Sever’s disease often develops from participating in high-impact sports such as basketball, football, or baseball. To confirm a diagnosis of Sever’s disease, a physical exam will be performed, and occasionally, an X-ray may be ordered to determine how advanced the growth plate is, in addition to observing if a stress fracture has occurred. Relief begins with temporarily stopping the activity that caused the condition, and performing specific heel stretches, which may ease the pain. If your child is affected by Sever’s disease, it is advised that a podiatrist be contacted who can begin the correct treatment process.

 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Lewis Wolstein, DPM, P.C. & Associates. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Co-Op City, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

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