Tuesday, 19 November 2024 00:00

How to Treat Your Toenail Fungus

While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.

There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.

Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.

While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.

Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.

Orthotics can help reduce plantar pressure in children with infantile tibia vara, also known as Blount's disease. This condition affects the growth of the bones in the lower legs, causing the legs to bow outward. It can lead to uneven pressure on the feet when walking, which may cause discomfort and difficulty in moving around. Custom orthotics are designed to provide extra support and cushion for the feet. In children with Blount's disease, orthotics help distribute body weight more evenly, reducing the pressure on certain parts of the foot. This can improve walking patterns and relieve pain caused by the uneven pressure. By supporting the feet and correcting alignment, orthotics play an important role in managing plantar pressure in children with Blount's disease. They help make walking more comfortable and prevent further complications as the child grows. If your child is experiencing pain and difficulty with mobility, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment, which may involve custom orthotics.

If you’re experiencing foot discomfort, have a history of foot and ankle injuries, or are interested in exploring Custom orthotics, don’t hesitate to contact one of our podiatrists at DeCaro Total Foot Care Center. Our doctors is dedicated to offering the care required to help you remain pain-free and stay on your feet. 

What are Custom Orthotics?

Custom orthotics refer to custom inserts designed for placement in different shoe types, including athletic and formal footwear, with the purpose of alleviating a spectrum of foot-related problems such as flat feet, heel pain, and overall foot discomfort. These inserts are instrumental in providing relief and comfort for a diverse range of foot conditions, including heel pain, and can also act as a proactive approach to injury prevention. 

Medical Grade Shoe Inserts: 

A diverse array of shoe inserts is available for addressing foot pain, heel discomfort, and minor issues. For instance, you can place arch supports in your shoes to rectify overarched or flat feet, and gel and cushioned insoles are frequently chosen for the comfort and relief they provide from foot and heel pain by reducing pressure. 

If you have any questions please contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

 

 

Read more about Investing in Custom Orthotics Means Investing in Foot Health

Custom orthotics offer a tailored approach to foot health, providing a host of benefits that extend far beyond conventional shoe inserts. One of the primary advantages lies in their ability to address specific biomechanical issues. Unlike off-the-shelf inserts, custom orthotics are crafted based on an individual's unique foot structure, gait, and any existing foot conditions.

The personalized design of custom orthotics ensures optimal support for the arches, promoting proper alignment and distributing pressure evenly across the feet. This can be particularly beneficial for individuals dealing with issues such as overpronation or underpronation, as custom orthotics help correct imbalances that may lead to discomfort or injury.

Beyond biomechanics, custom orthotics can alleviate a range of foot problems, including plantar fasciitis, bunions, and metatarsalgia. They provide targeted relief to areas under stress, reducing pain and inflammation. Additionally, for those with specific medical conditions like diabetes, custom orthotics can play a crucial role in preventing complications associated with poor foot health.

Comfort is another key aspect of custom orthotics. By accommodating the unique contours of an individual's feet, these inserts enhance overall comfort, making daily activities more enjoyable. Whether for athletes looking to optimize performance or individuals seeking relief from chronic foot pain, custom orthotics offer a versatile solution.

Investing in custom orthotics is an investment in long-term foot health. They not only provide immediate relief but also contribute to the prevention of future issues. With the ability to seamlessly integrate into various types of footwear, custom orthotics empower individuals to prioritize foot comfort without compromising on style. In essence, custom orthotics are a personalized prescription for happy, healthy, and pain-free feet.


 

Tuesday, 12 November 2024 00:00

How Podiatrists Evaluate Ankle Injuries

When evaluating an ankle, podiatrists use a thorough, multi-step process to diagnose issues accurately. The assessment often begins with a discussion of symptoms, including pain location, duration, and any history of injury. A physical examination follows, where the podiatrist checks for swelling, bruising, tenderness, and range of motion. Specific tests, such as the anterior drawer test, can help assess ligament stability, particularly in cases of suspected sprains by gently pulling the foot forward while stabilizing the lower leg. In many cases, podiatrists may order imaging studies like X-rays, ultrasounds, or MRI scans to obtain a detailed view of bones, ligaments, and soft tissues. These images help identify fractures, ligament tears, or signs of arthritis. Gait analysis is sometimes performed to evaluate how the patient’s foot and ankle move when walking. Based on findings, the podiatrist can develop a tailored treatment plan, ranging from rest and targeted exercises to more advanced options if necessary. If you have sustained an ankle injury it is suggested that you visit a podiatrist for an exam and treatment.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from DeCaro Total Foot Care Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

Read more about Foot and Ankle Trauma
Tuesday, 12 November 2024 00:00

Foot and Ankle Trauma

Broken Feet

A broken foot can either refer to a fracture or a straight break. The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are a result of an improper landing from a tall height. Twists or sprains are the other two frequent occurrences. As with all usual breaks, they result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time from repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break. Stress fractures result from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.

Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high, as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformities will become apparent. These symptoms indicate the need to see a medical professional with access to an x-ray facility.

Prior to seeing a specialist, precautions should be taken to reduce pain and swelling. Elevate and stabilize the foot, and refrain from moving it. Immobilization of the foot is the next priority, so creating a homemade splint is acceptable. Keep in mind that while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and relieve pain symptoms.

When dealing with a medical center, the patient should note that the treatment can vary. The treatment will depend on the severity of the fracture and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bones. 

Broken Ankles

Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint, the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sits directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in our ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.

A broken ankle is different from an ankle sprain, which occurs when the ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate x-ray to determine the severity of the break.

A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activities. Another common cause is a fall or jump from a tall height.

One immediate treatment for pain relief is elevating the feet above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankles to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.

It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.

Tuesday, 05 November 2024 00:00

Hammertoe Deformities

Hammertoe is a deformity where one or more toes become bent at the middle joint, resembling a hammer. This condition often develops due to muscle imbalances, which cause the tendons and ligaments to tighten and pull the toe into an abnormal position. Common causes include wearing ill-fitting shoes, particularly high heels or shoes that crowd the toes, as well as trauma or conditions like arthritis. Symptoms consist of pain, difficulty moving the affected toe, and the development of corns or calluses where the toe rubs against footwear. Over time, the deformity may become rigid, making it harder to correct. Relief for hammertoe may include wearing properly fitted shoes with a roomy toe box and using orthotic devices. In severe cases, surgery may be necessary to realign the toe. If you have a hammertoe, it is suggested that you promptly consult a podiatrist to prevent worsening of the affliction and provide effective treatment options.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors 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 West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Hammertoes?
Tuesday, 05 November 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.  

Thursday, 31 October 2024 00:00

What Are Custom-Made Foot Orthotics?

Custom-made foot orthotics are specialized insoles tailored to an individual’s unique foot structure and specific needs. These devices provide essential support and alignment, helping to alleviate discomfort caused by various foot conditions. Common issues treated with custom orthotics include bunions, which can cause pain and misalignment, and bursitis, an inflammation that leads to swelling and tenderness in the feet. Individuals with diabetes can also benefit, as custom orthotics help prevent complications by improving circulation and reducing pressure points. Additionally, those with flat feet often experience pain and instability, which orthotics can address by providing the necessary arch support. By promoting proper foot function and reducing strain on affected areas, custom-made foot orthotics play a critical role in enhancing mobility, comfort, and overall foot health. If you have specific conditions that would benefit from wearing custom-made orthotics, it is suggested that you consult a podiatrist who can determine which type is right for you.

If you are experiencing discomfort in your feet and would like to try custom orthotics, contact one of our podiatrists from DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Custom Orthotics?

Custom orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain. 

Over-the-Counter Inserts

Shoe inserts come in a wide variety and are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality, custom inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you're experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibility of using custom orthotics or shoe inserts. A podiatrist can determine which type of custom orthotic or shoe insert is right for you and help you take the first steps toward being pain-free.

If you have any questions please contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Investing in Custom Orthotics Means Investing in Foot Health

Custom orthotics offer a tailored approach to foot health, providing a host of benefits that extend far beyond conventional shoe inserts. One of the primary advantages lies in their ability to address specific biomechanical issues. Unlike off-the-shelf inserts, custom orthotics are crafted based on an individual's unique foot structure, gait, and any existing foot conditions.

The personalized design of custom orthotics ensures optimal support for the arches, promoting proper alignment and distributing pressure evenly across the feet. This can be particularly beneficial for individuals dealing with issues such as overpronation or underpronation, as custom orthotics help correct imbalances that may lead to discomfort or injury.

Beyond biomechanics, custom orthotics can alleviate a range of foot problems, including plantar fasciitis, bunions, and metatarsalgia. They provide targeted relief to areas under stress, reducing pain and inflammation. Additionally, for those with specific medical conditions like diabetes, custom orthotics can play a crucial role in preventing complications associated with poor foot health.

Comfort is another key aspect of custom orthotics. By accommodating the unique contours of an individual's feet, these inserts enhance overall comfort, making daily activities more enjoyable. Whether for athletes looking to optimize performance or individuals seeking relief from chronic foot pain, custom orthotics offer a versatile solution.

Investing in custom orthotics is an investment in long-term foot health. They not only provide immediate relief but also contribute to the prevention of future issues. With the ability to seamlessly integrate into various types of footwear, custom orthotics empower individuals to prioritize foot comfort without compromising on style. In essence, custom orthotics are a personalized prescription for happy, healthy, and pain-free feet.


 

Tuesday, 29 October 2024 00:00

Causes of Toe Discomfort

Aching toes can result from various causes, including arthritis, bunions, hammertoes, nerve issues, or even ill-fitting shoes. Conditions like plantar fasciitis, overuse injuries from sports, or long periods of standing may also lead to toe pain. The discomfort can range from mild soreness to sharp, persistent pain, affecting mobility and daily activities. To manage aching toes, it is important to rest and wear comfortable, supportive shoes. A podiatrist can diagnose the underlying cause of toe pain through a thorough exam and imaging scans. They may recommend custom orthotics, targeted exercises, or in severe cases, surgery to address structural problems. Early treatment helps prevent further complications and restores foot function. If you have toe pain that persists or worsens, it is suggested that you visit a podiatrist for care.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors 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 West Hatfield, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
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