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Tuesday, 15 February 2022 00:00

Ingrown Toenails 101

When the toenail becomes curved and grows into the skin along the sides of the nail, it forms an ingrown toenail. This can result in pain, inflammation, redness, swelling, and in some cases an infection. Issues such as genetics, improperly trimmed toenails, sweaty feet, and shoes that are too tight can all lead to ingrown toenails. In fact, athletes are particularly prone to ingrown toenails because they sweat more often. While ingrown toenails are usually not very serious, if left untreated, they can get very painful and may even get infected. Patients with ingrown toenails who have diabetes or a compromised immune system, have persistent pain, or believe that the nail is infected should consult with a podiatrist for treating the nail. 

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 Glenn Davison, DPM of Advanced Podiatry. Our doctor 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 offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenail Care
Tuesday, 15 February 2022 00:00

Ingrown Toenail Care

An ingrown toenail is a nail that has curved downward and grows into the skin.  This typically occurs at the nail borders, or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  Milder cases that don’t involve infection or other medical conditions can benefit from soaking the feet in room-temperature water and gently massaging the side of the nail.  In most cases, however, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Tuesday, 11 January 2022 00:00

Why Are My Toes Turning Blue?

If you notice that your toes look bluish in color, you may have a condition known as peripheral cyanosis. The main causes are a lack of blood reaching the toes, and lack of oxygen in the blood that does reach the toes. Normally, when blood is properly oxygenated it turns bright red. When oxygen levels are low, the blood turns a burgundy, or more bluish, color. However, if the toes are not receiving enough blood, even though it is fully oxygenated, the result is still a bluish color in the toes, and other body parts as well. The main causes of decreased oxygen are a blockage that prevents blood from reaching the extremities, or lack of pressure sufficient to allow the blood to reach the extremities. A fatty buildup in the blood vessels, known as peripheral arterial disease (PAD) is a common factor in such blockages. If you notice that your toes appear to be bluish, it is suggested that you make an appointment with your podiatrist, who can offer a proper diagnosis and treatment options.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Glenn Davison, DPM of Advanced Podiatry. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness   
  • Numbness or cramping in the legs 
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Causes Symptoms and Treatment for Poor Circulation in the Feet

The purpose of the body’s circulation system is to transport blood, oxygen, and nutrients throughout the body. A reduction of blood to a specific part of the body may cause one to experience symptoms of poor circulation. The most common causes of poor circulation in the feet are obesity, diabetes, and heart conditions such as peripheral artery disease (PAD). Common symptoms of poor circulation include tingling, numbness, throbbing, pain and muscle cramps.

Peripheral artery disease is a common cause of poor circulation in the legs. Symptoms of PAD are cramping, pain or tiredness in the leg or hip muscles while walking or climbing stairs. This pain tends to go away with rest and starts back up when you begin to walk.  It is a condition that causes the blood vessels and arteries to become narrow. Although PAD is more common in adults over the age of 50, it may also occur in younger people.  A similar condition called atherosclerosis causes arteries to stiffen up due to a buildup of plaque in the arteries and blood vessels.

Blood clots are also a common cause of poor circulation in the feet. Clots may obstruct blood vessels and if they occur in the legs, they may eventually lead to pain and discoloration. This occurrence is commonly known as deep vein thrombosis (DVT) and it may travel to the lungs. Varicose veins are another condition that may lead to poor circulation, and it is caused by incompetence of the valves in the veins. Women who are overweight are prone to developing this condition. Lastly, diabetes, which is correlated with poor blood sugar metabolism may lead to chronic poor circulation. Those with diabetes often suffer from cramping in the legs, calves, thighs and buttocks.

If you are looking for ways to avoid poor circulation there are some tips you can follow. One tip is to avoid sitting for too long. If you plan to sit down for a long period of time, you should try standing up occasionally, to improve your circulation. Another great way to avoid poor circulation is to exercise. Exercise is an excellent way to pump the heart and increase blood flow. Those who suffer from poor circulation should also avoid smoking, reduce their salt intake, and try to lose weight.

If you are experiencing symptoms from poor circulation in your feet, you should consult with your podiatrist to determine the best method for treatment for you. He or she may prescribe medication in addition to recommending specific lifestyle changes to improve your circulation.

Tuesday, 04 January 2022 00:00

Signs and Symptoms of Gout

Gout is a type of arthritis that typically attacks the foot, ankle and knee, causing swelling, redness, and pain. It is caused by a buildup of uric acid in the body. Flare-ups can last three to 10 days before they subside, only to recur sometimes months or years later. The most common symptom of acute gout is extreme pain, especially in the big toe. Medical treatment, along with a number of lifestyle and dietary changes, can help reduce the frequency and severity of gout attacks. If you experience sudden pain and swelling in the big toe or ankle, please consult a podiatrist as soon as possible. When caught and treated early, people with gout can live a relatively normal life.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Glenn Davison, DPM from Advanced Podiatry. Our doctor 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 offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Gout
Tuesday, 28 December 2021 00:00

What Do Plantar Warts Look Like?

Plantar warts are non-cancerous, rough growths that appear on pressure points located on the sole of the foot. They are caused by the human papillomavirus (HPV), which is spread through direct contact with a plantar wart or an object where HPV is present. Plantar warts are usually flat, and either brown, gray or flesh-colored. They can sometimes have black dots in the center, which are tiny capillaries that supply the wart with blood. Warts can grow individually or appear in clusters. They may be painful when you apply pressure to the bottom of the foot or walk on them. There are several types of therapies podiatrists can use to remove these warts permanently. If you notice a growth on the bottom of your foot that has the characteristics described here, please contact a podiatrist to confirm that what you see is a plantar wart and to receive proper care.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Glenn Davison, DPM from Advanced Podiatry. Our doctor 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 offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What Are Plantar Warts?
Tuesday, 02 November 2021 00:00

What Are Hammertoes?

When the toes are forced to curl downwards due to the middle joints of the toes tightening up, they form what is known as a hammertoe. Hammertoes, which can affect any toe but the big toe, are often most uncomfortable at the top of the toes where they rub against shoes. There are two types of hammertoes and they are both affected by the toe’s mobility. Flexible hammertoes can be manually straightened out, but rigid hammertoes can not be straightened out and they are very painful and limited in movement. Patients who are struggling with a hammertoe should make sure their shoes have a high and wide toe box to give the toes enough space. Persistent hammertoes should be checked by a podiatrist for possible treatment options that may include surgery.   

Hammertoes can be a painful condition to live with. For more information, contact Glenn Davison, DPM of Advanced Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Hammertoe
Tuesday, 21 September 2021 00:00

Understanding Gout

Gout is a type of inflammatory arthritis where excess amounts of uric acid causes hard crystals to form in the joints—most commonly affected is the big toe joint. The body’s inability to flush uric acid may be caused by kidney disease, diabetes, high blood pressure, obesity, certain medications, consuming foods and beverages that are high in purines, and a family history of gout. The pain felt by gout can often be acute, and may be accompanied by a burning sensation, swelling, and severe tenderness in the big toe. A podiatrist can diagnose gout through an examination, blood tests and analysis of joint fluid, and create a treatment plan based on their findings and the severity of the condition in the patient.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Glenn Davison, DPM from Advanced Podiatry. Our doctor 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 offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Gout
Tuesday, 24 August 2021 00:00

How Is Tarsal Tunnel Syndrome Diagnosed?

Tarsal tunnel syndrome can occur when the posterior tibial nerve that runs along the back of the ankle is pinched due to swelling or trauma. This can lead to symptoms that may include tingling, numbness, burning, or shooting pain in the affected leg. While anybody can get tarsal tunnel syndrome, it most frequently affects adults, and particularly those who have arthritis and other systemic diseases or previous injuries to the ankle area. To diagnose this condition, a podiatrist may take your medical history, conduct a physical examination, and perform a nerve conduction study or EMG. Imaging studies, like MRIs, may be used to rule out other causes for your symptoms. If you are experiencing any lower limb pain, it is suggested that you see a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Glenn Davison, DPM of Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Tarsal Tunnel Syndrome

The body experiences many changes during pregnancy, and one of the areas that is greatly affected is the feet. Foot pain is often a common problem that accompanies pregnancy and can occur for a number of reasons. Because pregnancy leads to weight gain that distributes differently throughout the body, the arch of the foot can flatten out and the feet can roll inwards while walking. Another common occurrence during pregnancy is swollen feet. This occurs because water tends to be retained more in the body and pools in the legs and feet. Ingrown toenails also frequently occur during pregnancy. The toenails are more likely to be pushed into the skin surrounding the nail when wearing tight fitting socks or shoes. If you are pregnant and dealing with any foot-related issues, consulting with a podiatrist could be very beneficial. A podiatrist will be able to help provide a variety of suggestions to help relieve your foot pain and can continue to monitor the health of your feet throughout your pregnancy. 

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Glenn Davison, DPM from Advanced Podiatry. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Care for Pregnant Women
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