Tuesday, 20 February 2024 00:00

Why Foot Corns Develop in Certain Spots

Corns can develop on many parts of the feet, although certain areas are more prone to corn formation due to increased pressure, friction, or rubbing against footwear. One common location for corns is on the tops of the toes, particularly over joints where the toe bones meet. The pressure from shoes that are too tight or narrow can cause friction in these areas. Similarly, corns may form on the sides of the toes, where adjacent toes rub against each other or against the sides of shoes. On the soles of the feet, corns often occur over bony prominences, such as the balls of the feet or the heels. Excessive pressure from walking or standing can cause thickened areas of skin to develop. Soft corns can also form between the toes due to moisture accumulation and friction. If you have corns on your feet, it is suggested you consult with a podiatrist who can provide more information about effective treatment and prevention. 

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Dr. Thomas E. Silver of Westwood Foot Clinic. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our office located in Golden Valley, MN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Corns and Calluses
Tuesday, 20 February 2024 00:00

Corns and Calluses

A corn is a lesion that forms in the skin of the foot, and it is typically circular in shape, small in size, and thick and rough in texture.  A corn generally occurs as a result of repeated pressure on the skin; one example of this is the rubbing of a shoe against the skin.  Corns differ from calluses in that their central cores are harder in texture.

A corn is a relatively common condition with a wide variety of treatment options.  If a corn becomes overly uncomfortable or painful, consult with your podiatrist; he can determine the best method of treatment that is appropriate for you.  Corns may return if the underlying cause of its development is not treated or removed.  Avoid removing corns at home, as improper removal may cause infection.

A callus, similar to a corn, is an area of skin that has become thickened due to repeated pressure and rubbing.  The rubbing causes the skin to create a layer of protective skin, which is the formed callus.  Calluses can differ in size between people, and they can also become painful.

Multiple treatments are available for calluses.  At-home treatment and removal should be avoided, as this can potentially lead to infection.  Your podiatrist can best determine the cause of your calluses and suggest the treatment most appropriate for you. 

Tuesday, 13 February 2024 00:00

Hammertoe Symptoms

Daily wear and tear can harm your toes, which are essential for balance and movement. Hammertoe is a toe problem where the middle joint bends upward, making the toe look like a hammer. Toes have muscles on top to stretch them and muscles underneath to bend them. Weak bottom muscles can lead to an upward bend at the middle joint, causing a hammertoe. This can hurt while walking and may affect balance. Symptoms include a bent toe that will not relax, swelling, corns, calluses, pain while walking, and changes in balance or walking style. Other toe issues like claw toes, mallet toes, and bunions exist, often alongside hammertoes. Risk factors include foot shape, medical conditions, like diabetes, arthritis, wrong shoes, and foot injuries. If you have a hammertoe that is causing discomfort, it is suggested that you schedule an appointment with a podiatrist for guidance.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Thomas E. Silver of Westwood Foot Clinic. 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 office located in Golden Valley, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Hammertoes?
Tuesday, 13 February 2024 00:00

What Are Hammertoes?

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity.  Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.  

Tuesday, 06 February 2024 00:00

Symptoms and Prevalence of Toenail Fungus

Toenail fungus, clinically known as onychomycosis, is a common condition that affects a significant portion of the population. This fungal infection typically occurs when microscopic fungi invade the toenails, leading to discoloration, thickening, and crumbling. The warm and moist environment inside shoes provides an ideal breeding ground for these fungi, making toenails susceptible to infection. Symptoms include changes in nail texture and color, ranging from yellowing to darkening. As the infection progresses, nails may become brittle and emit a foul odor. Toenail fungus is more prevalent than one may think, with a considerable percentage of the population grappling with this condition. Recognizing the symptoms early on is essential for effective management, as untreated toenail fungus can lead to persistent discomfort and potential complications. If you have a toenail fungus infection, it is suggested that you visit a podiatrist who can confirm the diagnosis and offer correct treatment methods, which often includes prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Thomas E. Silver of Westwood Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact our office located in Golden Valley, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Treating Toenail Fungus
Tuesday, 06 February 2024 00:00

Treating Toenail Fungus

Fungal infection of the toenail, or onychomycosis, typically appears as a gradual change in a toenail’s texture and color that involves brittleness and darkening.  The fungal infection itself occurs beneath the surface of the nail.  Aside from discoloration, other symptoms include the collection of debris beneath the nail plate, white marks on the nail plate, and a foul odor emanating from the nail.  If ignored, the infection can spread into other nails and the skin; in severe cases, it can hinder one’s ability to work or walk. 

The toenails are particularly vulnerable to contracting infection in moist environments where people are likely to be walking barefoot, such as around swimming pools, public showers, and locker rooms.  Fungal infection may also be more likely to occur in nail beds that have been injured, and sufferers of chronic diseases such as diabetes, circulatory problems, or immunodeficiency conditions are particularly prone to developing fungal nails. 

Fungal nails can be primarily prevented by practicing proper hygiene and regularly examining the feet and toes.  Carefully washing the feet with soap and water and thoroughly drying the feet afterwards are essential.  Other tips include wearing shower shoes in public areas, changing shoes and socks daily, keeping toenails clipped at a short length, wearing breathable shoes that fit properly, wearing moisture-wicking socks, and disinfecting home pedicure tools and instruments used to cut nails.

Fungal nail treatment may vary between patients and the severity of the condition.  Your podiatrist may suggest a daily routine of cleansing that spans over a period of time to ease mild infections.  Over-the-counter or prescription antifungal agents may also be prescribed, including topical and/or oral medications.  Debridement, or the removal of diseased nail matter and debris, may also be performed.  In more severe cases, surgical treatment may be needed.  In some instances, the temporary removal of the fungal nail allows for the direct application of a topical antifungal to the nail bed.  In other cases, a chronically painful fungal nail that has not responded to other treatments may be permanently removed; this allows the infection to be cured and avoids the growth of a deformed nail.  

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 30 January 2024 00:00

Wound Debridement

Debridement wound care is often necessary for the proper healing and prevention of complications in foot wounds. Debridement, whether with special dressings, maggots, or mechanical methods, aids in removing dead or infected tissue and facilitates healing. After this procedure, it is important to regularly change the dressing, as per your podiatrist’s instructions. Keeping the dressing dry by avoiding activities like swimming or hot tubs is vital. Always maintain cleanliness by washing your hands before and after touching the wound. Avoid applying pressure and use cushions or crutches, if necessary. While debridement carries potential risks like irritation, bleeding, or infection, its benefits often outweigh these. Pay attention to signs of infection, such as increasing pain, redness, swelling, or fever. If you have foot wounds or have had a debridement procedure and healing is slower than expected or shows signs of infection, it is strongly suggested that you schedule an appointment with a podiatrist for care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Thomas E. Silver from Westwood Foot Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Golden Valley, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Tuesday, 30 January 2024 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Tuesday, 23 January 2024 00:00

Causes of Blackened Toenails

Blackened toenails are caused by repetitive pressure and friction, often occurring when the toe is forced against the front edge of a shoe's toe box. While sometimes referred to as tennis toe, blackened toenails can also affect athletes in soccer, football, squash, racquetball, basketball, running, and skiing. Symptoms include throbbing pain and a reddish-blue or black discoloration of the nail plate due to a subungual hematoma, which is caused by blood under the nail. The big toe is more commonly affected in blackened toenails, but the second toe may also be affected. Wearing ill-fitting shoes plays a pivotal role, causing friction that leads to bleeding under the toenail. In severe cases with significant bleeding, swelling, or infection, visiting a podiatrist is suggested. This foot doctor may relieve pressure on the subungual hematoma by making a small hole in the nail or, in extreme cases, recommend partial or complete nail removal. Prevention involves wearing well-fitted shoes and recognizing early symptoms. Whether you are an avid athlete or enjoy an active lifestyle, if you notice discoloration in the toenails, it is suggested that you schedule an appointment with a podiatrist for treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Thomas E. Silver of Westwood Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Golden Valley, MN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
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