Posts for category: Foot Care
A bunion is one of the most common foot deformities, often affecting the joint at the base of the big toe. Anyone can develop this painful condition but it most often occurs in women. A bunion affects the structure of the foot, causing the joint to become enlarged, which causes the big toe to lean inward towards the other toes. In some cases, the big toe even overlaps the toes. This deformed joint may often become red or swollen, especially when wearing certain shoes or after certain physical activities.
A bunion is a gradual deformity, which means that as soon as you begin to notice changes in the joint or you start to experience symptoms you should consult a podiatrist. While the only way to correct the deformity is through surgery this is usually the last treatment option. After all, a foot doctor can often create a treatment plan that will reduce pain and prevent the deformity from progressing without needing to turn to surgery.
The first course of treatment is usually more conservative. You may be able to manage your bunion pain and swelling by:
- Taking over-the-counter NSAIDs
- Icing the bunion for up to 15 minutes at a time, 2-3 times a day
- Placing orthotics into your shoes to alleviate pressure on the joint (talk to your podiatrist about creating custom orthotics)
- Splinting or taping the foot to improve the structural alignment
- Wearing appropriate and supportive footwear that doesn’t put pressure on the toes or bunion
- Applying a bunion pad over the area to prevent a callus from forming while wearing shoes
- Avoiding certain activities and sports that could exacerbate your condition
For many people, these lifestyle changes and simple at-home treatment options are all that’s needed to reduce bunion pain and discomfort, and to prevent the problem from getting worse. Of course, if you find that at-home care isn’t providing you with relief, or if bunion pain is persistent or severe, then you should turn to a podiatrist for an evaluation. Not sure if you have a bunion or not? Call your foot doctor.
When should someone consider bunion surgery?
As we mentioned earlier, bunion surgery is considered a last resort when all other treatment options have been exhausted and they haven’t helped get your bunion symptoms under control. You may also want to consider getting bunion surgery if:
- Your bunion is large and makes it difficult to wear shoes
- Your bunion pain is severe and chronic
- You have trouble walking or moving around because of your bunion
- Your bunion is affecting your quality of life
It can take up to 6 months to fully recover from traditional bunion surgery so it’s important to discuss all of your treatment options with your podiatrist to find the most effective method for getting your bunion symptoms under control.
Ingrown toenails are one of the most common podiatric issues facing people today. Going by the medical name onychocryptosis, this painful nail condition occurs when a toenail (typically on the big toe) invades the flesh surrounding it. At Cherry Creek Foot Clinic in Denver, CO, Dr. Florin Costache and Dr. Lorry Melnick see scores of cases every year, and they are here to help you too!
They need consistent care, just as your fingernails do. The American Academy of Orthopaedic Surgeons says that to keep your nails consistently healthy, you should avoid restrictive footwear, wash your feet daily, and wear moisture-wicking socks to help avoid fungal growth.
Perhaps most important, though, is how you trim your nails. Always use a pair of sharp, clean clippers, and cut nails straight across. That way, the nails will not grow into the surrounding flesh and cause an ingrown toenail.
If you do have an ingrown toenail...
Your Denver podiatrists can help. Come into our office and Dr. Costache or Dr. Melnick will inspect your toenails, including the ingrown nail. Then, depending upon the condition's severity and how present the infection is, we may recommend the following interventions:
- Warm water soaks two-to-three times a day for a few days to soften the nail (you may add epsom salts to the water)
- Wearing clean dry socks daily and open-toed shoes if possible
- Taking over the counter medications for pain relief (ibuprofen or acetaminophen according to the dosing directions on the bottle)
- Partial or total nail removal in the office (done with locally injected anesthetic)
If a toe becomes infected as a result of onychocryptosis, your podiatrist may also prescribe an oral antibiotic.
If you need help with an ingrown toenail, don't wait! Call Cherry Creek Foot Clinic today at (303) 355-1695, and we will be happy to get you comfortable and moving well again. The clinic is open Monday through Thursday from 8 am to 5 pm.
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!
- Plantar fasciitis
- Achilles tendinitis
- Heel pain
- Ankle sprains and fractures
- Foot fractures
- Sports-related injuries
- Bunions and hammertoes
- Corns and calluses
- Diabetic foot care
- Fungal infections
- Ingrown toenails
- Heel spurs
Heel pain is one of the most common complaints a podiatrist hears about from patients. If you are dealing with heel pain above the heel bone then you could be dealing with Achilles Tendonitis, a result of overuse. The Achilles tendon is the longest tendon in the body and it serves to connect the muscles of the calf with the lower leg and heel bone.
While Achilles Tendonitis tends to occur most often in runners, this condition can still occur in athletes that play certain sports such as soccer or tennis. Unfortunately, this tendon does weaken as we get older, which makes at an increased risk for developing this overuse injury as we age.
What are the symptoms of Achilles Tendonitis?
The most obvious symptom of Achilles Tendonitis is pain above the heel bone. When the pain first appears it’s usually pretty mild and you may only notice it after running; however, over time you may notice that the pain gets worse after certain exercises. Along with pain you may also experience stiffness or tenderness in the heel, especially in the morning or after long periods of sitting.
When should I see a podiatrist?
If this is the first time that you’ve ever experienced heel pain then it’s a good idea to turn to a foot doctor who can determine whether Achilles Tendonitis is causing your symptoms or whether it’s something else. If you’re experiencing chronic heel pain around the Achilles tendon it’s also a good time to see a doctor. If the pain is severe or you are unable to put weight on your foot it’s possible that you might be dealing with a ruptured tendon, which requires immediate attention.
How do you treat Achilles Tendonitis?
In most cases, Achilles Tendonitis can be treated with simple self-care options. Unless symptoms are severe you may be able to treat your heel pain by:
- Taking over-the-counter pain medications
- Avoiding high-impact activities or activities that exacerbate symptoms
- Elevating the foot to reduce swelling
- Performing stretching exercises or undergoing physical therapy
- Icing the heel
- Wearing custom orthotics
- Replacing worn-out shoes, especially running shoes
Surgery is only necessary if your symptoms aren’t responding to any other nonsurgical treatment options after several months or if the tendon is torn.
If you think your heel pain could be the result of Achilles Tendonitis then it’s time to turn to a podiatrist as soon as possible. A podiatrist can provide you with a variety of treatment options, from simple lifestyle modifications to custom orthotics.