Foot Problems

FOOT PROBLEMS

 

Foot problems are one of the most common sources of pain that we as humans experience.  Most of us are on our feet the majority of time during the day, and as the old saying goes, “when our feet hurt, we hurt all over”.

 

Foot problems can range from a simple blister on our toe to painful, disabling deformities such as bunions.  Pain levels can range from the inability to wear shoes for a day or so to total disability. Fortunately, modern Podiatric care can offer treatment plans, either conservative or surgical, that will render those suffering from foot problems relief.

 

The most commonly treated foot problems are ingrown toenails, heel pain, warts, corns, calluses, flat feet, and bunions.  Ankle sprains and strains are also frequently seen in the Podiatrists’ office.  It is not uncommon that immediate relief can be offered a patient in one or two treatments by their Podiatrist.  However, long term relief of these problems may require longer treatment plans or surgical correction.  Surgery is usually performed either as an out-patient at a hospital or surgical center, or, for minor procedures, in the Podiatrists’ office.  Depending on what procedure is performed, recovery times can range from one day to a few weeks.

 

One of the most common, painful complaints is ingrown toenails.  These are caused when the nail breaks off under the skin due to trauma, improper trimming, or a nail deformity.  This usually results in infection.  Treatment requires removal of the offending nail portion.  If the deformity or injury is severe enough, removal of the corresponding portion of nail root is also required.  Reoccurrence is likely if this procedure is not performed.  Warts, another common foot problem, are caused by a virus, and if the virus is not eliminated from the tissue, the problem continues.  Heel pain, caused by spurs or plantar fasciitis usually respond favorably to conservative care with exercise, anti-inflammatory drugs, and custom shoe inserts called orthotics.  Flat foot problems   also respond well to orthotic therapy.  Corns, calluses, and bunions, if not responsive to conservative care, respond well to surgical intervention.

 

Foot problems, although being one of the most common reasons for chronic pain and disability, can sometimes respond to conservative methods with some success.  Many times, foot problems respond temporarily to “drug-store remedies”. These treatments are not for everyone, however.  Patients suffering from circulatory disease, diabetes, lack of nerve sensation, poor vision and infections should not attempt to treat common foot problems by themselves.  In these cases, the advice of a Podiatrist is recommended.  When conservative therapy fails, surgery is usually the treatment of choice.

Ingrown Toenails

Author – Gary F Ochwat DPM

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Ingrown toenails are a common foot condition in which the nail is curved downward and the side of the toenail grows into the flesh of the toe.  This irritates the skin creating pain and redness and sometimes leads to infection.

Common causes of ingrown toenails include hereditary, trauma improper trimming and tight fitting shoes.  Toenail fungus may also cause the nail to become ingrown.

Prevent ingrown toenails by trimming your toenails properly.  Cut the nails straight across and do not cut them too short.  Avoid wearing tight fitting shoes.  It is a myth that cutting a “V” in the nail allows the nail to grow straight.  This is simply not true.  The toenail will continue to grow curved downward.

Self care treatment includes soaking the toe in warm water for 15-20 minutes and apply a topical antibiotic ointment twice a day.  When an infection is present, seek professional care from a Podiatrist.  This is especially true for those at risk because of diabetes or vascular disease.  Often a minor procedure  is performed to permanently remove the ingrown side of the toenail.  This is a common, painless treatment procedure performed under local anesthesia in the Podiatrist’s office.

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