Posts for: October, 2018
With an ingrown toenail, you will notice swelling and redness where the edge of the nail is cutting into your skin. A bacterial or fungal toenail infection may also be evident causing yellowing and a discharge of fluid that may have a bad smell. For advanced cases, it’s always best to seek treatment with your foot doctor to ensure the proper diagnosis and care.
3 main causes of ingrown toenails
- Poor toenail cutting—One of the main causes of an ingrown toenail is from cutting the nails too short and too close to the skin. This positions the edge of the nail next to the tender skin around your toes and the nail then grows into the skin, causing severe pain.
- Foot trauma—Injuring your toe by dropping something heavy on it can damage the nail and cause it to grow into the skin.
- Tight shoes—Shoes that constrict your toes force them together and press on the toenails, increasing the chances of developing this condition.
Treatment for ingrown toenails
For less severe cases, you may be able to lift up the edge of the nail where it is hitting your skin and insert a piece of cotton to pull the nail away. Eventually, it will grow out over the skin. Be sure not to cut the nail too short again to avoid a recurrence. For severe ingrown toenails, your foot doctor may need to cut away the nail to stop the pain and to treat the underlying damage.
If you are experiencing problems with ingrown toenails, consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
If you experience a break where a ligament separates from the bone and a small section of bone pulls away with it, then you have suffered an avulsion fracture. Younger athletes whose bones are not yet fully developed are more susceptible to these types of fractures, and they often occur at the elbows, hips, or ankles.
Due to the extreme stress on their feet, dancers are affected by this type of injury, and often in the fifth metatarsal bone that connects to the pinky toe. Rest, ice, a compression bandage, and elevation can treat a minor avulsion fracture. However, for more severe breaks, surgery may be needed.
Symptoms and signs of an avulsion fracture to the foot include:
- Rapid onset of intense pain
- Pain fluctuates with your activity intensity
- Inflamed, bruised, and tender tissue at the location of the break
- A protruding piece of bone may be evident
- You are unable to put weight on the foot
Treatment for an Avulsion Fracture
See your foot doctor right away for a physical exam and evaluation. Images studies made using X-rays, CT scans, and MRI scans may be necessary to determine the extent of the damage. In the case of a displacement, the bones will need to be surgically aligned and reattached. A rigid boot is worn to immobilize the foot so healing can occur.
Physical therapy exercises will help to increase the strength and flexibility of muscles, ligaments, and tendons after the initial immobilization and healing period.
If you have suffered an avulsion fracture, consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
The condition of tarsal tunnel syndrome that affects the foot has many similarities to the wrist condition called carpal tunnel syndrome. In both cases, nerve stress and damage from repetitive use can cause numbness, pain, tingling, and a burning sensation.
In the case of your feet, inflammation and constriction of the tissues around the posterior tibial nerve can cause these uncomfortable sensations to radiate to the bottom of the foot and to the inward facing side of the ankle.
The causes and risk factors of tarsal tunnel syndrome include:
- Injuries such as ankle sprains and strains that contribute to nerve compression
- Having flat feet causes the foot to roll outward, increasing nerve stress
- Systemic diseases like diabetes, arthritis, and peripheral artery disease are risk factors
- A physical obstruction such as a varicose vein, ganglion cyst, or swollen tendon that is pressing on the nerve can cause the condition
Initial treatments for tarsal tunnel syndrome include:
- Resting and icing to lower inflammation and promote the healing response
- Ibuprofen or other NSAIDs to relieve pain and swelling
- Immobilization of the foot and ankle with a rigid boot to allow the nerves and tissues to heal
- Physical therapy to increase strength and flexibility
- Ultrasound treatments
- Custom made orthotic inserts combined with supportive and properly-fitted shoes
- Foot and ankle braces may be required to redistribute pressure
In severe cases that don’t respond to conservative methods, surgery may be needed to relieve pain and pressure.
Untreated, tarsal tunnel syndrome can evolve to cause permanent damage, so be sure to consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
Keeping your feet healthy and in optimal shape can be difficult, but wearing the right shoes that are properly sized and fitted is the most important factor in avoiding injury, pain, and discomfort. Always choose a shoe that is made for the activity in which you will be engaged, and be sure to replace your footwear whenever it becomes worn out and unsupportive.
Two essential shoe tips for happy feet include:
- Footwear that is the right size—Many folks underestimate the amount of change their feet experience in a year. Your feet flatten out and become wider as you age, and the size can change as much as a half an inch year to year. Try to go shopping for shoes at the end of your day when your feet have reached their maximum size. Be sure to get both feet measured since one foot may have changed more than the other. It’s not uncommon for your two feet to be a half size or more apart in length.
- Proper arch and ball support—Correct arch and ball support are essential for proper foot mechanics. Always have your arch type properly determined with a computerized gait analysis (your podiatrist can do this) and make sure you use orthotic inserts to correct any of these gait abnormalities. The ball of the foot needs to be well supported and orthotics can also help in that regard. Having your arch and ball properly supported will help avoid many foot and ankle injuries and also helps alignment of your knees, hips, and back.
For help getting the perfect shoes for your feet, consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
Ganglion cysts are non-cancerous growths that will often show up as bumps on the top of your foot. They tend to grow on a tendon, ligament, or muscle and they are characterized by the fact that the soft sack is filled with fluid, but it doesn’t move around at all. The fluid is thick and jelly-like and ganglion cysts may sometimes be found in clusters. Since they can hide underneath a layer of skin, they can be difficult to identify without the help of your podiatrist.
Sometimes a ganglion cyst is found growing on a nerve which may cause a tingling sensation in your toes or other parts of the foot.
Treatment for ganglion cysts may include the following:
- Fluid removal—The fluid in the cyst is removed with a hypodermic needle and a steroid solution is added to prevent a return of the cyst.
- Custom orthotics—Specially-designed custom-made orthotic inserts can divert pressure from the cyst area and allow it to heal more rapidly.
Ganglion cysts are not always painful and may not cause any significant trouble. But be certain to pay attention to any unusual bumps on your feet, especially if they change color or size rapidly since it may be a sign of skin cancer. Cysts that do not respond well to conservative treatments may require surgery to treat properly.
If you think you may have a ganglion cyst or for any other foot or ankle problem you may be experiencing, consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!