Podiatry Blog
By Affiliates in Podiatry
March 02, 2021
Category: Foot Conditions
Tags: Puncture Wound  
Puncture WoundA puncture wound in the foot occurs when you step on an object that leaves a small hole behind. One of the most common puncture wounds comes from stepping on a nail. Puncture wounds are not simply cuts and will require different treatment and care to prevent infection and other complications from occurring. If you’re dealing with a puncture wound, you probably took a trip to your local emergency room for care. Even if you’ve done this, you should still follow up with a podiatrist to make sure the wound is properly cared for and tended to.
 
Dealing with a puncture wound? Here are the steps you should take,
  • Seek immediate medical attention (head to your local ER)
  • You may need a tetanus shot if it’s been more than 10 years since your last shot
  • Schedule an appointment with your podiatrist within 24 hours of the injury
  • Your podiatrist will provide you with a variety of care instructions to keep it clean and disinfected (make sure to follow all of these instructions)
When you come into the podiatrist’s office the first thing they will do is assess the wound and make sure it is properly cleaned. They will also make sure there is no debris remaining. To clean the wound, a numbing gel may be applied to the area first. Sometimes a round of antibiotics is prescribed to prevent an infection from developing. If your podiatrist suspects that you might still have a piece of an object in the wound or that there might be bone damage, imaging tests may need to be performed.
 
You must keep off the foot so that it can fully heal. If you’ve been prescribed antibiotics, make sure to take the medication until it is finished (if you stop taking it before the medication is finished it won’t be as effective). While your foot heals you must examine it daily and look for any signs of infection. These signs include,
  • Fever
  • New or worsening pain
  • Swelling
  • Redness
  • Drainage
  • Skin that’s warm to the touch
It’s important to turn to a podiatrist right away to treat your puncture wound to prevent complications. A foot and ankle specialist can provide you with instructions on how to properly care for your wound to ensure that it doesn’t get infected. Seek treatment right away.
By Affiliates in Podiatry
February 12, 2021
Category: Foot Care
Tags: Smelly Feet  
Smelly FeetIt’s an embarrassing problem. Smelly feet can make you feel self-conscious. You can’t get comfortable or take your shoes off without worrying that everyone will notice your stinky feet. Have you ever wondered what might be going on to cause this problem in the first place? While some people are more prone to smelly feet than others, your podiatrist can provide you with some tips to get rid of offensive-smelling foot odors.
 
Did you know that there are about 250,000 sweat glands in a pair of feet? Sweat glands are more heavily concentrated in the feet than any other part of the body so it’s not too surprising that you may deal with smelly feet at some point. Common causes for stinky feet include:
 
Poor ventilation: If you wear shoes all day, or you choose shoes made from non-breathable materials, then you may find yourself dealing with some pretty offensive feet at the end of the day. Give your feet some time to breathe or look for shoes made from more breathable fabrics.
 
Bacteria: Just like the rest of your body, there are bacteria on your feet that also thrive off sweat. Unfortunately, when the bacteria feed off sweat they also produce acid, which is responsible for that unpleasant odor.
 
Fungus: Unfortunately, our feet are also a popular place for fungus because they are warm, moist, and prone to sweat. Even if bacteria aren’t to blame, it could be a fungus. If you are dealing with a red, itchy rash on your feet, you could have Athlete’s foot, which can also cause smelly feet.
 
Hormones: Sometimes hormones can play a role. That’s why teens and pregnant women are more likely to deal with this problem.
 
How to Treat Smelly Feet
If you are dealing with smelly feet, some simple remedies help. Some of these home remedies include,
  • Wash feet at least once a day with soap and warm water. Make sure that you dry your feet thoroughly after.
  • Make sure to dry feet as soon as possible after dealing with sweaty or perspiring feet.
  • Choose socks made from materials that wick away sweat and improve ventilation.
  • Apply deodorizing sprays or powders in shoes every day after wear, and make sure to wait 24 hours before wearing the same shoes again.
If you’ve tried the at-home options above and you’re still dealing with smelly feet, then it’s worth turning to your podiatrist for more effective solutions. Some prescription-strength medications and sprays can help target bacteria and fungus, and also reduce perspiration.
 
Those dealing with hyperhidrosis, excessive sweating, may find electrical stimulation to be an effective way to reduce severe and heavy sweating caused by this condition.
 
We know that even though bromodosis isn’t dangerous, that it can still be embarrassing. If you are having trouble getting your smelly feet under control, your podiatrist can help.
By Affiliates in Podiatry
February 08, 2021
Category: Foot Care
Tags: Heel Pain   Podiatrist  

Heel pain is a common reason that residents of Meredith and Concord, NH, visit Dr. William McCann, Dr. Jeffery Davis, and Dr. Thomas Detwiller of Affiliates in Podiatry. Do you know when you should see the podiatrist if you have heel pain?

It's time to call your Meredith and Concord foot doctor if you have any of these symptoms

Get in touch with your foot doctor if:

  • Your heel pain lasts more than a week or two: In many cases, resting your heel as much as possible will ease the pain. If the pain persists, it's a good idea to schedule an appointment.
  • You have severe pain: Severe pain is never normal and needs to be evaluated as soon as possible.
  • You're having trouble walking: Your podiatrist needs to see you if walking is painful or difficult.
  • You can't put any weight on your heel at all: If your pain started after you were in an accident or jumped or fell, you may have a fractured heel.

Your heel pain may be caused by one of these conditions

In addition to fractures, heel pain can be caused by:

  • Plantar Fasciitis: The condition occurs when the tough band of tissue that connects your heel to your toes becomes inflamed. Pain may be worse first thing in the morning and after sitting or being inactive for a while.
  • Heel Fissure: Deep, painful cracks in your heels may not heal without treatment from a foot doctor.
  • Heel Spurs: Calcium deposits that form on the bottoms or back of your heel make walking painful.
  • Achilles Tendonitis: Inflammation in the thin tendon at the back of your heel can result in tenderness and pain.
  • Retrocalcaneal Bursitis: Pain at the back of your heel may also be caused by inflammation in the retrocalcaneal bursa, a small sac that helps the Achilles tendon glide easily.

No matter what the source of your heel pain, your foot doctor offers treatments that can ease your symptoms. Depending on your diagnosis, treatment may include walking boots, crutches, prescription shoe inserts or heel cups, prescription medication, corticosteroid injections, or ultrasound therapy.

Are you struggling with heel pain? Schedule a visit with your Meredith and Concord, NH, foot doctors, Dr. William McCann, Dr. Jeffery Davis, and Dr. Thomas Detwiller of Affiliates in Podiatry. Make an appointment at the Concord office by calling (603) 225-5281 or at the Meredith office by calling (603) 279-0339.

By Affiliates in Podiatry
February 01, 2021
Category: Foot Care
Tags: Foot Care   Dry Feet  
At-Home Care for Dry FeetDry, flaky feet are incredibly common, particularly during the cold, winter months; however, if you find yourself dealing with dry or cracked feet throughout the year, especially around the heels, you may be wondering what you can do about it. Instead of just waiting until your feet become dry and flaky, your podiatrist can provide you with some easy skin care tips to keep your feet supple and free from dry skin all year long.
 
Wear Appropriate, Supportive Footwear

Certain shoes can leave you prone to cracked heels and dry skin due to friction from wearing loose-fitted shoes. People who wear sandals and other open-heeled shoes are more at risk for developing cracked heels. Instead, opt for closed-heeled shoes that fit properly and provide support.
 
Lose Excess Weight

If you are overweight, you may be surprised to discover that this could be contributing to your dry, cracked heels. This is because your feet take on all of your weight while standing, walking, and running. By safely dropping that excess weight through a healthy diet and regular exercise you can alleviate some of the pressure placed on your heels to reduce the risk of cracking.
 
Avoid Hot Showers

While we know just how luxurious it feels to stand in a steaming hot shower, especially during the winter months, this could be contributing to dry skin on your feet and cracked heels. If this is something you deal with regularly you may look at your current bathing or showering ritual to see if that could be the culprit. Simply use warm and not hot water, which can strip the skin of the oils it needs to stay moist.
 
Apply a Moisturizer

You should moisturize your feet every day to prevent dry skin from happening in the first place. Moisturizers that contain lactic acid, glycerin, or petroleum jelly can help to lock in moisture in your feet. Moisturize every time you get out of the shower and throughout the day, especially before going to bed. If you are prone to very dry, cracked feet, you may wish to moisturize and then wear socks to bed.
 
If these simple home measures don’t work, then you’ll want to consult your podiatrist to see if they can recommend a prescription-strength moisturizer or cream to reduce dryness and inflammation. Since dry, cracked feet can sometimes be a sign of an underlying health problem like diabetes, it’s a good idea to see your doctor if you’re dealing with this problem regularly.
 
While dry skin isn’t usually a concern for healthy individuals, if you have diabetes, you’ll need to be extra careful when it comes to treating even minor problems like dry, cracked, or flaky skin. To be on the safe side, it’s best to speak with a qualified podiatrist to find out how to treat cracked skin to prevent infection. Call your foot doctor today.
By Affiliates in Podiatry
January 15, 2021
Category: Foot Conditions
Tags: Sprain   Fractured Foot   Broken Bone  
Did I Break My FootWhether you took a bad tumble or your child had a rough collision while playing sports, it’s important that you do not just recognize the signs of a broken foot but that you also seek immediate medical attention. Of course, we know that it isn’t always easy to differentiate a break from a sprain. Here are some signs that your foot is broken and need to be seen by a qualified podiatrist,
  • Pain that occurs immediately after an injury or accident
  • Pain that is directly above a bone
  • Pain that is worse with movement
  • Bruising and severe swelling
  • A cracking sound at the moment of injury
  • A visible deformity or bump
  • Can’t put weight on the injured foot
If you or your child is experiencing symptoms of a fractured foot or ankle they must turn to a podiatrist for care. We can diagnose, set, and treat all types of fractures; however, if the bone is dislocated or looks severely broken (a visible bump or deformity appears on the foot) it’s a good idea to head to your local ER.
 
How can I tell the difference between a break and a sprain?

The symptoms of a sprain are far less severe. You can often put weight on the injured foot with a sprain; however, you may notice some slight pain and stiffness. You may also have heard a popping sound at the moment of the injury with a sprain, while a broken bone often produces a cracking sound. The pain associated with a sprain will also be above soft tissue rather than bone. A podiatrist will perform an X-ray to be able to determine if you are dealing with a break or a sprain.
 
How is a broken bone in the foot treated?

Rest is key to allowing an injury, particularly a fracture, to heal properly. Along with rest, your doctor may also recommend either an over-the-counter or prescription-strength pain reliever, depending on the severity of your fracture. Those with more moderate to severe fractures may require a special boot, brace, or splint. Those with more severe fractures may need to wear a cast and use crutches, so they can avoid putting any weight on the foot.
 
If you are on the fence about whether or not to see a podiatrist about your injury, why not simply give us a call? We can discuss your symptoms on the phone to determine whether we can take a wait-and-see approach or whether you need to come in right away for care.




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IF THIS IS AN URGENT REQUEST PLEASE CONTACT OUR OFFICE AT 603-225-5218. IF THIS IS A TRUE EMERGENCY PLEASE CONTACT 911.

Affiliates in Podiatry, PC

(603) 225-5281
248 Pleasant Street Suite 203 Concord, NH 03301

(603) 279-0330
169 Daniel Webster Highway Meredith, NH 03253
 
169 Daniel Webster Highway Meredith, NH 03253