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Posts for category: Foot Condition

By Dr. Vincent L. Travisano, DPM
April 19, 2019
Category: Foot Condition
Tags: Ingrown Nails  

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

Home Remedies

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.

Professional Treatments

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!

By Dr. Vincent L. Travisano, DPM
March 06, 2019
Category: Foot Condition
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. SoYour Heel Pain Could Be Plantar Fasciitis what causes heel pain?
 
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 
 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
 
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
 
You can take steps now to avoid heel pain, including:
  • 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
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.  
By Dr. Vincent L. Travisano, DPM
September 08, 2017
Category: Foot Condition
Tags: Plantar Fasciitis  

Heel pain is most often caused by plantar fasciitis, an inflammation of the long, dense band of connective tissue (the plantar fascia) that runs from the heel to the ball of the foot.

Repeated strain on the plantar fascia can cause tiny tears in the ligament. As tension and tearing increases, so does inflammation and irritation of the affected area. Risk factors of plantar fasciitis include foot arch problems (flat foot and high arches); excess weight; running; and a tight Achilles tendon.

The most common symptom of plantar fasciitis is gradually developing pain on the bottom of the heel. The pain is usually worst in the morning and after sitting or standing for a long period of time. For some, the pain subsides after walking or stretching.

To reduce pain associated with plantar fasciitis:

  • Rest. Limit and/or avoid activities that make your heel hurt.
  • Ice. Reduce pain and swelling by icing the affected area each day.
  • Stretch. Stretch your heel throughout the day, especially when you first wake up in the morning.
  • Footwear modifications. Wear shoes that provide good arch support and a cushioned sole. Ask your podiatrist about pads and shoe inserts to relieve your heel pain.

When conservative treatments aren't effective, or your pain persists for more than a few weeks, schedule an appointment to discuss your symptoms and treatment options. A podiatrist can recommend an appropriate treatment plan for your individual needs. This may include stretching exercises, shoe padding, orthotic devices, night splints or therapy. Most patients respond to non-surgical treatments, but for pain that won't go away, surgery may be required.

With proper rest and treatment, recovering from plantar fasciitis can take just a few months. Visit us when you first experience pain for a diagnosis and an appropriate treatment plan for your individual needs.

By Dr. Vincent L. Travisano, DPM
August 14, 2017
Category: Foot Condition
Tags: Morton's Neuroma  

 

Morton's Neuroma

A neuroma is a thickening of nerve tissue that can develop in various parts of your body. In the foot, the most common occurring neuroma develops at the base of the third and fourth toes. This condition is referred to as Morton's neuroma.

There are typically no physical signs of Morton's neuroma, such as a lump or a knot. Instead, symptoms may include:

  • A sharp, achy or burning pain in the ball of your foot
  • Numbness, tingling, or cramping in the toes or forefoot
  • Feeling as if you're standing on a pebble in your shoe

While the exact cause of Morton's neuroma is unknown, the growth of the neuroma seems to occur in response to injury, pressure or irritation to one of the nerves that lead to the toes. People with foot deformities such as bunions, hammertoes and flat feet are at higher risk for developing a neuroma. Women are also more likely to develop this condition, as wearing high-heels or narrow-toed shoes can increase pressure on the toes. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running.

Morton's neuroma can make walking and performing normal activities difficult and painful. Treatment options vary with severity, and identifying the neuroma in its earliest stage of development is important to avoid more invasive treatments or surgical correction. Left untreated, neuromas tend to worsen, so it's always best to visit our office at the first sign of pain.

Early treatments aim to relieve or reduce pressure on the area around the affected toes. Depending on the severity of your neuroma, a podiatrist may recommend:

  • Modifications to footwear. Wide-toed shoes relieve pressure on the neuroma.
  • Shoe inserts or padding to provide support for the arch of the foot, which removes pressure from the nerve.
  • Anti-inflammatory medications can help ease any pain and inflammation. Ask your doctor first.
  • Icing to reduce inflammation.
  • Rest to lessen repetitive pressure on the neuroma.

In the most severe cases, surgery may be recommended for patients who do not respond to conservative treatments. We can help you determine the best approach for your specific condition.

By Dr. Vincent L. Travisano, DPM
July 18, 2017
Category: Foot Condition
Tags: Metatarsalgia  

Metatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the Heel Painarea just before the toes, also called the metatarsal region.


Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:

  • Sharp, aching or burning pain in the ball of your foot - the part of the sole just behind the toes
  • Pain that intensifies when you stand, walk or run
  • Pain that radiates from the balls of the feet into the toes
  • Numbness or tingling in the toes
  • A feeling in your feet as if you are walking with a pebble in your shoe
  • Pain that increases when walking barefoot

Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:

  • Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
  • Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
  • Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
  • Excess weight. Extra weight places excess pressure on your metatarsals.
  • Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.

Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.

When conservative treatments aren't effective and pain persists, visit our practice for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.



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