Posts for category: Foot Care
Are neuromas dangerous?
It’s important not to confuse a neuroma with Morton’s neuroma. A neuroma is a benign growth that develops on the nerves; however, Morton’s neuroma is not a growth; it’s simply inflammation and swelling of the tissue around the nerves that lie between the toes (often between the third and fourth toes).
What causes Morton’s neuroma?
Any kind of intense pressure or compression placed on these toes can lead to inflammation of the tissue around the nerves. Some people are more at risk for developing Morton’s neuroma. Risk factors include:
- Playing certain sports such as running or tennis, which puts pressure on the balls of the feet
- Wearing high heels with a heel that’s more than 2 inches tall
- Wearing narrow shoes or shoes with pointed toes
- Certain foot conditions such as bunions or hammertoes
- Flat feet or high arches (or other congenital foot problems)
Since this condition involves inflamed tissue, you won’t notice a growth or bump in the area; however, you may simply experience pain that is gradual and minor at first and is alleviated by not wearing shoes. Symptoms often get worse with time and result in:
- Swelling between the toes
- A sharp burning pain between the toes that gets worse with activity
- Tingling or numbness in the foot
- Feeling like there is a pebble or stone in your shoe (often at the balls of the feet)
- Pain that’s intensified by standing on your tiptoes or wearing high heels or pointed-toe shoes
Most people can alleviate their symptoms through simple lifestyle modifications including:
- Massaging your feet
- Shoe pads
- Custom shoe inserts (that a podiatrist can craft just for you)
- Supportive footwear that offers shock-absorption
- Non-steroid anti-inflammatory drugs
- Steroid injections
- Local anesthetic injections
Affiliates in Podiatry in Meredith, NH, or Concord, NH are here to help when you have ingrown toenails. Our podiatrists Dr. William McCann, Dr. Jeffery Davis, and Dr. Thomas Detwiller are skilled in diagnosing and treating every kind of foot ailment. If you are prone to ingrown toenails or have one right now, keep reading for tips on preventing them and come see us.
An ingrown toenail happens when the side of a toenail digs into the skin of the toe. It becomes red, inflamed, and can be very painful. Ingrown toenails can easily become infected and require surgery if left untreated.
Some people inherit the tendency to develop ingrown toenails, but they can happen to anyone. Ingrown toenails most often happen when a toenail has been cut too short, especially against footwear that is too tight.
How to prevent ingrown toenails
The most common cause of ingrown toenails is trimming them too short, so you need to be careful when trimming your toenails. Make sure they are trimmed straight across without rounded edges. When the corners are rounded or they are cut too short, it's easier for the nail to start to grow into the skin.
Comfortable and supportive footwear is another important step to preventing ingrown toenails. This means shoes that support your arch and give your toes room to wiggle. Socks should be fitted but not tight. Tight socks and shoes can encourage or aggravate ingrown toenails.
You can also practice some basic foot care to be extra careful of ingrown toenails. Wearing clean socks and washing your feet every day helps prevent fungal infections which increase the chance of developing ingrown nails. It's best to rotate shoes so they have a chance to completely dry out between wears and keep your feet clean and dry.
When you have ingrown toenails in Meredith, NH, or Concord, NH, come to Affiliates in Podiatry. Dr. William McCann, Dr. Jeffery Davis, and Dr. Thomas Detwiller can help treat and prevent future ingrown toenails. Contact us for an appointment in Concord at (603)-225-5281, and in Meredith at (603)-279-0330.
As we age, our feet will change shape and size, which can also predispose them to certain problems. This also means that your foot needs will change, particularly concerning footwear. Here’s how your feet will change:
- Loss of fat pads
- Dry, cracked skin
- The development or worsening of certain deformities such as hammertoes or bunions
- Widening or lengthening of the feet
- Loss of bone density (which can increase your risk for fracture)
- Changes in gait due to certain conditions such as neuropathy or arthritis
- Diabetic-related foot problems
- Issues with balance
You must look for shoes that provide proper cushioning and supportive insoles so that your feet can tackle the day-to-day activities. If you have foot problems or issues with gait, then you’ll want to turn to a podiatrist for an evaluation. Together, you can decide the proper footwear and whether prescription orthotics can also provide your feet with additional support and cushioning that footwear alone can’t.
You should turn to a specialty shoe store where they can analyze your gait, properly measure your feet, and determine whether the shoes you’re getting may require additional modifications including orthotics. For example, some shoes and brands adjust to foot swelling throughout the day, while others provide enough space to place orthotics.
- Any shoes with pointed toes
- Shoes with heels over 2 inches
- Shoes that aren’t non-slip
- Sandals or flip-flops
- Shoes that don’t have a firm sole (including your slippers)
- Old, worn shoes (that simply need to be tossed)
- Shoes with rocker soles (particularly if you have gait problems)
How to Treat Sprained Ankles
Most minor sprains can be properly managed through simple at-home treatment and care. Conservative treatment is typically the first line of defense against minor ankle and foot problems, including minor sprains. While more moderate to severe sprains will require more aggressive attention and treatment options, the RICE method is ideal for most ankle sprains. Here’s what RICE stands for:
No matter the severity of your sprain, your podiatrist will be the first to tell you to stay off the ankle and to rest as much as possible to give the ankle time to heal. If the sprain is more moderate or severe, your podiatrist may recommend wearing a protective boot or using crutches to help stabilize the foot and ankle and take pressure off the ankle while standing or walking.
Especially for the first 72 hours after an ankle injury, it’s a good idea to use ice as much as possible to reduce swelling and pain. Wrap an ice pack in a towel and apply to the ankle for up to 20 minutes at a time. You can continue to do this every few hours throughout the day.
Your podiatrist can also show you the proper way to wrap and bandage your ankle, which not only promotes proper circulation and blood flow to the area to aid in healing but also can provide additional support and stabilization for the ankle. It’s important to know how to properly wrap your ankle to make sure it’s providing the very best support and your podiatrist can easily show you how.
Whenever you at resting (which should be most of the day!), it’s a good idea to prop your injured ankle up above your heart to reduce inflammation and bruising. You should elevate your ankle for at least a couple of hours each day!
If you are in pain, over-the-counter NSAID pain relievers can be great for reducing pain, swelling, and inflammation. For more severe sprains, your podiatrist may prescribe something stronger. Patients with more moderate-to-severe sprains may require physical therapy and rehabilitation to help rebuild and strengthen the ligaments, tendons, and muscles of the ankle.
Knowing you have a proper treatment plan in place can provide you with the peace of mind you need to know that your ankle will heal properly. Don’t ignore any foot or ankle injuries. Turn to your podiatrist right away for sprained ankles, or any other problems you may be facing.
This might sound obvious but it’s important to find socks that offer the perfect amount of snugness for your feet. There shouldn’t be added material that can bunch up, as this can cause friction and blistering; however, socks shouldn’t be so tight that they put too much pressure on your feet. The seams of the socks should not rub against your feet or irritate.