Friday, September 16, 2011

Plantar Warts (Foot Warts)- Podiatrist in Victoria, TX

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Plantar Wart Treatment - Podiatrist in Victoria, TX

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Dr. Frank Henry discusses the symptoms, causes and treatments for Plantar Warts (Foot Warts).

http://www.healthywalking.com

Most foot warts are harmless, even though they may be painful. They are often mistaken for other conditions such as corns or calluses –[which are layers of dead skin that build up to protect an area which is being continuously irritated]. A wart, however, is a viral infection. Over 42 types of viruses are known to cause a wart.

More serious foot lesions such as malignant (cancer) lesions can sometimes be mistaken as a wart. Children, especially teenagers, tend to be more susceptible to warts than adults while some people seem to be immune. The most common times for warts to occur are, puberty, emotional & physical stress, pregnancy and menopause.

Warts can appear anywhere on the skin and those which are located on the sole of the foot are called plantar warts. The virus generally invades the skin through small or invisible cuts and abrasions. When they get large enough they can be quite painful.

Plantar warts appear to be hard and flat, with a rough surface and well-defined boundaries but their true size is hidden because they are pushed into the skin. Warts are generally raised and fleshier when they appear on the top of the foot or on the toes. Plantar warts are often gray or brown (but the color may vary), with a center that appears as one or more pinpoints of black. It is important to note that warts can be very resistant to treatment and have a tendency to reoccur.

The plantar wart is often contracted by walking barefoot on contaminated surfaces. The virus that causes plantar warts thrives in warm, moist environments, making infection a common occurrence in public bathing facilities, locker rooms and even can be transmitted when trying on a pair of shoes.

If left untreated, warts can grow to an inch or more in circumference and can spread into clusters of warts. Like any other infectious lesion, plantar warts are spread by touching, scratching, or even by contact with skin shed from another wart. The wart may also bleed, another route for spreading.

Occasionally, warts can spontaneously disappear after a short time, and, just as frequently, they can recur in the same location.

Plantar warts that develop on the weight-bearing areas of the foot - the ball of the foot, or the heel, can cause sharp, burning pain. Pain occurs when weight is brought to bear directly on the wart, although pressure on the side of a wart can create equally intense pain.

Prevention:

  • Avoid direct contact with warts - from other persons or from other parts of the
  • body. Avoid walking barefoot, except on sandy beaches.
  • Change your shoes and socks daily.
  • Check yours & your children's feet periodically.
  • Keep your feet clean and dry.
  • When trying on new shoes always wear socks.

 

Treatment:
Over-the-counter foot wart treatments are usually the first course of treatment that a person will try. The acid used can kill some warts but usually by the time the wart is discovered it is larger and the Over-the-counter medication will be ineffective.

My practice can treat warts a variety of ways, including medication and surgical removal.

Visit our website: http://www.healthywalking.com

Custom Orthotics - Podiatrist in Victoria, TX

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Custom Orthotics Treatment - Podiatrist in Victoria, TX

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Dr. Frank Henry discusses Custom Orthotics. 

http://www.healthywalking.com


Orthotics are shoe inserts that correct an abnormal, or irregular, walking pattern. Generally called arch supports, orthotics allow people to stand, walk, and run more efficiently and comfortably.

Podiatrists sometimes prescribe orthotic devices to correct an abnormal walk, or gait, and often for patients following surgery.

Orthotic devices come in many shapes and sizes, and materials and fall into three main categories: those designed to change foot function, are primarily protective in nature, and those that combine functional control and protection.

Rigid orthotics

The so-called rigid orthotic device, designed to control function, is often composed of a firm material such as plastic or carbon fiber, and is used primarily for walking or dress shoes. Such orthotics are made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot.

Rigid orthotics control motion in two major foot joints that lie directly below the ankle joint and may improve or eliminate strains, aches, and pains in the legs, thighs, and lower back.

Soft orthotics

Soft orthotics usually absorb shock, increase balance, and take pressure off uncomfortable or sore spots. They are typically made up of soft, cushy materials. Soft orthoses also are worn against the sole of the foot, extending from the heel past the ball of the foot, including the toes. Such orthotics are also made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot.

Soft orthoses are usually effective for diabetic, arthritic, and deformed feet.

Semi-rigid orthotics

Semi-rigid orthotics provide foot balance for walking or participating in sports. Sometimes, different sports call for different kinds of semi-rigid orthotics. The typical semi-rigid orthotic is made up of layers of soft material, reinforced with more rigid materials.

Children are sometimes given orthoses to treat flatfoot or intoeing or outtoeing disorders. Athletes often are given orthoses to mitigate pain while they train and compete.

While over-the-counter orthotic inserts help people with mild symptoms, they normally cannot correct the wide range of symptoms that prescription foot orthoses can since they are made to fit a person with an "average" foot shape.

 

Visit our website: http://www.healthywalking.com

 

Ingrown Toenails Treatment - Podiatrist in Victoria, TX

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Ingrown Toenail Treatment - Podiatrist in Victoria, TX

Dr. Frank Henry discusses the symptoms, causes and treatments for Ingrown Toenail.

http://www.healthywalking.com


Ingrown Toenails

What are Ingrown Nails?
An ingrown nail is the result of a nail growing into the skin that surrounds it. This often occurs at either edge of the big toe, but it may also occur with the little toes. Ingrown nails may be caused by improper trimming, inherited nail deformities, injuries, fungal infections, or pressure.

Symptoms
Ingrown nails may cause pain at the tip of the toe or all the way to the base of the toe. The pain is often worse while walking. An ingrown nail may also lead to infection or inflammation. If it's infected, you might see pus or redness.

Evaluation
To determine the extent of your problem, the podiatrist examines and possibly palpates (presses) the painful area. If other problems are suspected, blood tests, cultures, or x-rays may be done as well.

Treatment
If the nail is not infected, the podiatrist may trim the corner of it to help relieve your symptoms. For a partially ingrown nail, Dr. Henry may need to remove one side of your nail back to the cuticle and treat the base of the nail. Severe infections or totally ingrown nails may require antibiotics and temporary or permanent removal of the entire nail. To lessen pain, a local anesthetic may be used in these procedures.

What are Thickened Nails?
Abnormally thick or crumbling nails may be caused by injuries, pressure from shoes, fungal infections, or conditions such as diabetes, psoriasis, or vascular disease. Eventually, the nail may loosen and fall off.

Symptoms
Along with thickening, the nail may appear ridged, brittle, or yellowish. The nail may also feel painful when pressure is put on it.

Evaluation
Since thickened nails may be symptom of an underlying medical condition, it's important for the podiatrist to look at your medical history for possible related problems. The thickness and color of the nail are also examined carefully to determine possible infections or other conditions.

Treatment
If a fungal infection is present, oral or topical antifungal medications may be needed. This can help prevent ulcerations under the nail while keeping the fungus from spreading to other nails. If pain is extreme, the nail can be surgically removed.

How Can I Prevent Nail Problems?
Many nail problems can be prevented by wearing the right shoes and trimming your nails properly. To help avoid infection, keep your feet clean and dry. If you have diabetes, talk with the podiatrist before doing any foot self-care.

Proper Trimming
To avoid possible problems, try to trim your toenails straight across without cutting down into the corners. You can smooth the ends with an emery board.

The Right Shoes
Get your feet measured (your size may change as you age). Wear shoes that are supportive and roomy enough for your toes to wiggle. Look for shoes made of natural materials, such as leather, that allow your feet to breathe.

Visit our website: http://www.healthywalking.com

 

Thursday, September 15, 2011

Podiatrist Victoria, TX – Frank Henry, DPM

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Podiatrist Victoria, TX – Frank Henry, DPM

Meet Podiatrist Dr. Frank Henry as he discusses foot care at The Foot and Ankle Institute of San Francisco

http://www.healthywalking.com

Welcome to The Foot Center

At The Foot Center, we believe that a doctor and patient become a team for treating an individual's feet. Our physicians spend most of their time listening to understand your concerns and responding with the best treatment options for you. With the help of our professional staff, they also follow up to make sure that generally pain is relieved, problems are resolved and your health improves.

We also want our patients to be informed about podiatric problems and treatments, because informed patients make better decisions about their health and well being. That is why we've included an extensive section on this web site covering the full array of topics associated with podiatry and podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet.

We also know that convenience in the Victoria area is important to your selection of a podiatrist. In these web pages you'll find information about The Foot Center's office, including our Victoria location, maps, directions, hours, insurance policies and appointment scheduling. Please feel free to contact us with any questions you have or to request an appointment. We hope you'll find our practice offers the accessibility and personal commitment you look for from a physician.

Visit our website: http://www.healthywalking.com

 

Heel Pain - Podiatrist in Victoria, TX

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Heel Pain Treatment - Podiatrist in Victoria, TX

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Dr. Frank Henry discusses the symptoms, causes and treatments for Heel Pain.

http://www.healthywalking.com

Plantar Fasciitis (heel spur)

PLANTAR FASCIITIS AND HEEL SPUR SYNDROME
The Plantar Fascia is a strong inelastic band of fibers which begins at the heel and extend into the toes. When the Plantar Fascia becomes inflamed, the pain is mainly in the arch of the foot. Medically, this condition is called Plantar Fasciitis. When the Plantar fascia becomes inflamed and the pain is mainly in the heel, medically this condition is called Heel Spur Syndrome. The usual cause of Plantar Fasciitis or Heel Spur Syndrome is excessive pulling on the Plantar Fascia from either excessive exercise, poor fitting shoe gear or poor foot alignment while running or standing.

Plantar fascia pain usually begins as a mild pain to either the arch area or the bottom of the heel. The discomfort in the foot is usually most noticeable with the first step in the morning and seems to improve after a period of "warming up" the foot. If untreated, the pain can become intolerable. In some individuals, actual heel spur formation can occur at the site of where the Plantar Fascia is connected to the heel. The heel spur is actually a ridge of bone which forms to reinforce where the Plantar Fascia attaches to the heel. The ridge of bone is not the main problem unless a small nerve under the Plantar fascia becomes entrapped. The Plantar Fascia is the primary pathological anatomical structure that is causing pain to the patient. If the pulling on the plantar fascia is corrected, it is important to understand that the heel spur that formed from the pulling is not important and does not need to be removed with surgery. There are many doctors who get the heel spur confused and tell the patient that a heel spur is causing their pain when in fact it is the injury to the Plantar Fascia that needs to be medically treated.

Home care for either Plantar Fasciitis or Heel Spur Syndrome primarily consists of resting the foot, applying ice to the affected area three times a day for ten minutes, and using a supportive athletic shoe for most activities during the day. Sometimes stretching the arch by rolling the foot on an empty soft drink bottle in the morning helps relieve some of the pain. In addition, using a heel pad or a padded insole can be helpful in relieving the pain in the heel. If these home treatments do not relieve the pain, treatment by a foot and ankle specialist is warranted.

In treating heel and arch related foot pain, an X-ray of the foot is usually obtained to rule out a rare heel stress fracture and to document if a heel spur has occurred. Sonography is used to evaluate the plantar fascia for signs of inflammation or tears. Once a diagnosis is made of either Heel Spur Syndrome or Plantar Fasciitis, initial treatment usually consists of orthopedic strapping, anti-inflammatory medications, the use of a night splint and functional foot orthotics. A night splint is required to hold the foot in the correct position during sleep to allow the Plantar Fascia to heal in the correct length as when standing and walking. A functional orthotic is required to control the amount of pulling that is occurring in the Plantar Fascia with weight bearing by controlling the position of the foot in the shoe. In some cases a cortisone injection is placed into the area of the origin of the Plantar Fascia to rapidly reduce the amount of pain that is present.

Surgical intervention for either Heel Spur Syndrome or Plantar Fasciitis is rarely indicated and should be considered only if a night splint and / or the functional foot orthotic has failed. The surgery is warranted if the Plantar Fascia band has become too short due to repeated injury to where the Plantar Fascia or the nerve under the Plantar Fascia has become entrapped. The surgery should only be performed by an experienced surgeon. The primary purpose of the operation is to lengthen the Plantar Fascia where it is anchored to the heel bone.

Because Heel Spur Syndrome and Plantar Fasciitis is an inflammatory condition, early intervention is essential to stop the repeated scarring of the Plantar Fascia that can lead to irreversible shortening of the Plantar Fascia, nerve entrapment and the formation of a painful adventitious bursa.

Visit our website: http://www.healthywalking.com

Wednesday, September 7, 2011

Custom Orthotic - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Custom Orthotics - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Dr Andrew Green of Atlantic Podiatry discusses Custom Orthotics.

http://www.atlanticpodiatry.com

Orthotics, also known as orthoses, refers to any device inserted into a shoe, ranging from felt pads to custom-made shoe inserts that correct an abnormal or irregular, walking pattern. Sometimes called arch supports, orthotics allow people to stand, walk, and run more efficiently and comfortably. While over-the-counter orthotic are available and may help people with mild symptoms, they normally cannot correct the wide range of symptoms that prescription foot orthoses can since they are not custom made to fit an individual's unique foot structure.

Orthotic devices come in many shapes, sizes, and materials and fall into three main categories: those designed to change foot function, those that are primarily protective in nature, and those that combine functional control and protection.

Rigid Orthotics

Rigid orthotic devices are designed to control function and are used primarily for walking or dress shoes. They are often composed of a firm material, such as plastic or carbon fiber. Rigid orthotics are made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot. Rigid orthotics control motion in the two major foot joints that lie directly below the ankle joint and may improve or eliminate strains, aches, and pains in the legs, thighs, and lower back.

Soft Orthotics

Soft orthotics are generally used to absorb shock, increase balance, and take pressure off uncomfortable or sore spots. They are usually effective for diabetic, arthritic, and deformed feet. Soft orthotics are typically made up of soft, cushioned materials so that they can be worn against the sole of the foot, extending from the heel past the ball of the foot, including the toes. Like rigid orthotics, soft orthotics are also made from a mold after a podiatrist takes a plaster cast or other kind of image of the foot.

Semi-Rigid Orthotics

Semi-rigid orthotics provide foot balance for walking or participating in sports. The typical semi-rigid orthotic is made up of layers of soft material, reinforced with more rigid materials. Semi-rigid orthotics are often prescribed for children to treat flatfoot and in-toeing or out-toeing disorders. These orthotics are also used to help athletes mitigate pain while they train and compete.

Visit our website: http://www.atlanticpodiatry.com

 

Sports Injury to the Foot - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Foot Sports Injuries  - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

 Dr Andrew Green of Atlantic Podiatry discusses the symptoms, causes and treatments for Sports Injuries to the Foot.

http://www.atlanticpodiatry.com

Many sports are hard on the feet because of quick repetitive movements, constricting footwear, and/or increased exposure to injury or trauma. Following is a brief overview of some of the most common injuries that result from particular sports.

Martial Arts and Kick Boxing
Injuries commonly seen as a result of martial arts and kick boxing include plantar fasciitis, Achilles tendonitis, sesamoiditis, and ankle sprains. Stretching is recommended to help prevent injury; specifically, a minimum of 15 minutes of stretching before performing any kicking or punching.

Aerobics
Impact forces from aerobics can reach up to six times the force of gravity, which is transmitted to each of the 26 bones in the foot. That is why proper shoes are crucial to successful, injury-free aerobics. Shoes should provide sufficient cushioning and shock absorption to compensate for pressure on the foot many times greater than found in walking. They must also have good medial-lateral stability.

Team Sports
Activities such as football, baseball, basketball, soccer, field hockey, and lacrosse often lead to ankle injuries as a result of play on artificial surfaces, improper footwear, and/or inadequate stretching.

 

Visit our website: http://www.atlanticpodiatry.com

Tuesday, September 6, 2011

Children’s Feet - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Children’s Feet - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

 

Dr Dennis McBroom of Atlantic Podiatry discusses the symptoms, causes and treatments for Children’s Foot Problems.

http://www.atlanticpodiatry.com

Choosing shoes for your children can play a critical role in their musculoskeletal development, including their posture.

In general, infants just learning to walk do not need shoes. Infants may go barefooted indoors, or wear only a pair of socks. This helps the foot grow normally and develop its muscles and strength as well as encourages the grasping ability of toes.

Once children are ready to walk as toddlers, their need for properly-fitted shoes is important. In general, a soft, pliable, roomy shoe, such as a sneaker, is ideal for all children. The toe box should provide enough space for growth and should be wide enough to allow the toes to wiggle. A finger's breadth of extra length will usually allow for about three to six months' worth of growth, though this can vary depending on your child's age and rate of growth.

Because high-top shoes tie above the ankle, they are recommended for younger children who may have trouble keeping their shoes on. Contrary to common belief, however, high-top shoes offer no advantages in terms of foot or ankle support over their low-cut counterparts.

Here are some tips when purchasing shoes for children:

  • Both feet should be measured every time you shop for new shoes since those little feet are growing. If, as is common, the feet are two different sizes, shoes should be fitted to the larger foot.
  • The child's foot should be sized while he or she is standing up with full weight-bearing.
  • There should be about one-half inch of space (or a thumb's width) between the tip of the toes and the end of the shoe. The child should be able to comfortably wiggle his or her toes in the shoe.
  • Have the child walk around the store for more than just a few minutes wearing the shoe with a normal sock. Ask the child if he or she feels any pressure spots in the shoe. Look for signs of irritation on the foot after the shoe is tested.
  • Put your hand inside the shoe and feel around for any staples or irregularities in the glue that could cause irritation. Examine where the inside stitching hits the foot.
  • Examine the shoe itself. It should have a firm heel counter (stiff material on either side of the heel), adequate cushioning of the insole, and a built-in arch. It should be flexible enough to bend where the foot bends at the ball of the foot, not in the middle of the shoe.
  • Never try to force your child's feet to fit a pair of shoes.
  • Shoes should not slip off at the heels. Children who have a tendency to sprain their ankles will do better with high-top shoes or boots.

Children who frequently remove shoes from their feet may be signaling some discomfort. Check your child's feet periodically for signs of too-tight shoes, such as redness, calluses or blisters, which will help you know when they've outgrown their shoes.

Remember that the primary purpose of shoes is to prevent injury. Shoes seldom correct children's foot deformities or change a foot's growth pattern. Casting, bracing, or surgery may be needed if a serious deformity is present. If you notice a problem, please contact our office to have your child's feet examined.

 

Visit our website: http://www.atlanticpodiatry.com

Children’s Feet - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Children’s Feet - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

 

Dr Dennis McBroom of Atlantic Podiatry discusses the symptoms, causes and treatments for Children’s Foot Problems.

http://www.atlanticpodiatry.com

Choosing shoes for your children can play a critical role in their musculoskeletal development, including their posture.

In general, infants just learning to walk do not need shoes. Infants may go barefooted indoors, or wear only a pair of socks. This helps the foot grow normally and develop its muscles and strength as well as encourages the grasping ability of toes.

Once children are ready to walk as toddlers, their need for properly-fitted shoes is important. In general, a soft, pliable, roomy shoe, such as a sneaker, is ideal for all children. The toe box should provide enough space for growth and should be wide enough to allow the toes to wiggle. A finger's breadth of extra length will usually allow for about three to six months' worth of growth, though this can vary depending on your child's age and rate of growth.

Because high-top shoes tie above the ankle, they are recommended for younger children who may have trouble keeping their shoes on. Contrary to common belief, however, high-top shoes offer no advantages in terms of foot or ankle support over their low-cut counterparts.

Here are some tips when purchasing shoes for children:

  • Both feet should be measured every time you shop for new shoes since those little feet are growing. If, as is common, the feet are two different sizes, shoes should be fitted to the larger foot.
  • The child's foot should be sized while he or she is standing up with full weight-bearing.
  • There should be about one-half inch of space (or a thumb's width) between the tip of the toes and the end of the shoe. The child should be able to comfortably wiggle his or her toes in the shoe.
  • Have the child walk around the store for more than just a few minutes wearing the shoe with a normal sock. Ask the child if he or she feels any pressure spots in the shoe. Look for signs of irritation on the foot after the shoe is tested.
  • Put your hand inside the shoe and feel around for any staples or irregularities in the glue that could cause irritation. Examine where the inside stitching hits the foot.
  • Examine the shoe itself. It should have a firm heel counter (stiff material on either side of the heel), adequate cushioning of the insole, and a built-in arch. It should be flexible enough to bend where the foot bends at the ball of the foot, not in the middle of the shoe.
  • Never try to force your child's feet to fit a pair of shoes.
  • Shoes should not slip off at the heels. Children who have a tendency to sprain their ankles will do better with high-top shoes or boots.

Children who frequently remove shoes from their feet may be signaling some discomfort. Check your child's feet periodically for signs of too-tight shoes, such as redness, calluses or blisters, which will help you know when they've outgrown their shoes.

Remember that the primary purpose of shoes is to prevent injury. Shoes seldom correct children's foot deformities or change a foot's growth pattern. Casting, bracing, or surgery may be needed if a serious deformity is present. If you notice a problem, please contact our office to have your child's feet examined.

 

Visit our website: http://www.atlanticpodiatry.com

Fungal Toenails - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Fungal Toenails - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

Dr Andrew Green of Atlantic Podiatry discusses the symptoms, causes and treatments for Toenail Fungus.

http://www.atlanticpodiatry.com

Fungal Toenails

Many people don't realize they have a fungal nail problem and, therefore, don't seek treatment. Yet, fungal toenail infections are a common foot health problem and can persist for years without ever causing pain. The disease, characterized by a change in a toenail's color, is often considered nothing more than a mere blemish. Left untreated, however, it can present serious problems.

Also referred to as onychomycosis, fungal nails are infections underneath the surface of the nail, which may also penetrate the nail. Fungal nail infections are often accompanied by a secondary bacterial and/or yeast infection in or about the nail plate, which ultimately can lead to difficulty and pain when walking or running. Symptoms may include discoloration, brittleness, loosening, thickening, or crumbling of the nail.

A group of fungi, called dermophytes, easily attack the nail and thrive on keratin, the nail's protein substance. In some cases, when these tiny organisms take hold, the nail may become thicker, yellowish-brown, or darker in color, and foul smelling. Debris may collect beneath the nail plate, white marks frequently appear on the nail plate, and the infection is capable of spreading to other toenails, the skin, or even the fingernails.

Nail bed injury may make the nail more susceptible to all types of infection, including fungal infection. Those who suffer chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails. Other contributory factors may be a history of Athlete's Foot or excessive perspiration.

You can prevent fungal nail infections by taking these simple precautions:

  • Exercise proper hygiene and regularly inspect your feet and toes.
  • Keep your feet clean and dry.
  • Wear shower shoes in public facilities whenever possible.
  • Clip nails straight across so that the nail does not extend beyond the tip of the toe.
  • Use a quality foot powder (talcum, not cornstarch) in conjunction with shoes that fit well and are made of materials that breathe.
  • Avoid wearing excessively tight hosiery, which promotes moisture. Socks made of synthetic fiber tend to "wick" away moisture faster than cotton or wool socks, especially for those with more active lifestyles.
  • Disinfect home pedicure tools and don't apply polish to nails suspected of infection.

Depending on the type of infection you have, over-the-counter liquid antifungal agents may not prevent a fungal infection from recurring. A topical or oral medication may need to be prescribed, and the diseased nail matter and debris removed, a process called debridement. Note: Please consult your physician before taking any medications.

In severe cases, surgical treatment may be required to remove the infected nail. Permanent removal of a chronically painful nail, which has not responded to any other treatment, permits the fungal infection to be cured and prevents the return of a deformed nail.

 

Visit our website: http://www.atlanticpodiatry.com

Diabetic Foot Care - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Diabetic Foot Care - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

Dr Dennis McBroom of Atlantic Podiatry discusses diabetic foot care.

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http://www.atlanticpodiatry.com

According to the American Diabetes Association, about 15.7 million people (5.9 percent of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

Foot problems are a big risk in diabetics. Diabetics must constantly monitor their feet or face severe consequences, including amputation.

With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal. When your wound is not healing, it's at risk for infection. As a diabetic, your infections spread quickly. If you have diabetes, you should inspect your feet every day. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches, cuts and nail problems. Get someone to help you, or use a mirror.

Here's some basic advice for taking care of your feet:

  • Always keep your feet warm.
  • Don't get your feet wet in snow or rain.
  • Don't put your feet on radiators or in front of the fireplace.
  • Don't smoke or sit cross-legged. Both decrease blood supply to your feet.
  • Don't soak your feet.
  • Don't use antiseptic solutions, drugstore medications, heating pads or sharp instruments on your feet.
  • Trim your toenails straight across. Avoid cutting the corners. Use a nail file or emery board. If you find an ingrown toenail, contact our office.
  • Use quality lotion to keep the skin of your feet soft and moist, but don't put any lotion between your toes.
  • Wash your feet every day with mild soap and warm water.
  • Wear loose socks to bed.
  • Wear warm socks and shoes in winter.
  • When drying your feet, pat each foot with a towel and be careful between your toes.
  • Buy shoes that are comfortable without a "breaking in" period. Check how your shoe fits in width, length, back, bottom of heel, and sole. Avoid pointed-toe styles and high heels. Try to get shoes made with leather upper material and deep toe boxes. Wear new shoes for only two hours or less at a time. Don't wear the same pair everyday. Inspect the inside of each shoe before putting it on. Don't lace your shoes too tightly or loosely.
  • Choose socks and stockings carefully. Wear clean, dry socks every day. Avoid socks with holes or wrinkles. Thin cotton socks are more absorbent for summer wear. Square-toes socks will not squeeze your toes. Avoid stockings with elastic tops.

When your feet become numb, they are at risk for becoming deformed. One way this happens is through ulcers. Open sores may become infected. Another way is the bone condition Charcot (pronounced "sharko") foot. This is one of the most serious foot problems you can face. It warps the shape of your foot when your bones fracture and disintegrate, and yet you continue to walk on it because it doesn't hurt. Diabetic foot ulcers and early phases of Charcot fractures can be treated with a total contact cast.

The shape of your foot molds the cast. It lets your ulcer heal by distributing weight and relieving pressure. If you have Charcot foot, the cast controls your foot's movement and supports its contours if you don't put any weight on it. To use a total contact cast, you need good blood flow in your foot. The cast is changed every week or two until your foot heals. A custom-walking boot is another way to treat your Charcot foot. It supports the foot until all the swelling goes down, which can take as long as a year. You should keep from putting your weight on the Charcot foot. Surgery is considered if your deformity is too severe for a brace or shoe.

Visit our website: http://www.atlanticpodiatry.com

Neuroma - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Neuroma - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Dr Dennis McBroom of Atlantic Podiatry discusses the symptoms, causes and treatments for Neuromas.

http://www.atlanticpodiatry.com

A neuroma is an abnormality of a nerve that has been damaged either by trauma or as a result of an abnormality of the foot. Neuromas occur most often in the ball of the foot, causing a pinched and inflamed nerve. In cases of chronic nerve pain from neuromas, surgery may be recommended.

During neuroma procedures, an incision is made on the top of the foot in the location of the neuroma, usually between the second and third toes or between the third and fourth toes. After the nerve is located, the surgeon cuts and removes it.

Neuroma surgery is generally performed on a same-day outpatient basis in the doctor's office or a surgery center using a local anesthetic. The incision will be covered with a dressing after the surgery, which must be kept dry until the sutures are removed, usually within 10 to 14 days after the surgery. Most patients are sent home with a surgical shoe, although crutches may be recommended in cases where the incision must be made on the bottom of the foot. Elevation and icing are important in the first few days following surgery to reduce swelling. Patients are generally restricted to limited walking until the sutures are removed. Generally, patients can return to normal shoe wear in about three weeks. The overall recovery time is usually four to six weeks.

 

Visit our website: http://www.atlanticpodiatry.com

 

Ingrown Toenail - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Ingrown Toenail - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

Patient of Atlantic Podiatry discusses Ingrown Toenail.

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Ingrown toenails, also known as onychocryptosis, is usually caused by trimming toenails too short, particularly on the sides of the big toes. They may also be caused by shoe pressure (from shoes that are too tight or short), injury, fungus infection, heredity, or poor foot structure. Ingrown toenails occur when the corners or sides of the toenail dig into the skin, often causing infection. A common ailment, ingrown toenails can be painful. Ingrown toenails start out hard, swollen, and tender. Left untreated, they may become sore, red, and infected and the skin may start to grow over the ingrown toenail.

In most cases, treating ingrown toenails is simple: soak the foot in warm, soapy water several times each day. Avoid wearing tight shoes or socks. Antibiotics are sometimes prescribed if an infection is present. Note: Please consult your physician before taking any medications. In severe cases, if an acute infection occurs, surgical removal of part of the ingrown toenail may be needed. Known as partial nail plate avulsion, the procedure involves injecting the toe with an anesthetic and cutting out the ingrown part of the toenail.

Ingrown toenails can be prevented by:

  • Trimming toenails straight across with no rounded corners.
  • Ensuring that shoes and socks are not too tight.
  • Keeping feet clean at all times.

Visit our website: http://www.atlanticpodiatry.com

Bunions - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Bunions - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

 

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Dr James Rust of Atlantic Podiatry discusses the symptoms, causes and treatments for Bunions

http://www.atlanticpodiatry.com

Bunion

A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Treatment for Bunions

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain cause by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

  • The use of protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
  • Removal of corns and calluses on the foot.
  • Changing to carefully-fitted footwear designed to accommodate the bunion and not contribute toward its growth.
  • Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
  • Exercises to maintain joint mobility and prevent stiffness or arthritis.
  • Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Surgical Treatment

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.

 

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Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL - Atlantic Podiatry

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Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL - Atlantic Podiatry

http://www.atlanticpodiatry.com

At Atlantic Podiatry Associates, our priority is to deliver quality care to informed patients in a comfortable and convenient setting.

Quality Care

When you have problems with your feet, you need to turn to a podiatrist who listens and responds ... an experienced doctor who knows the field and can effectively diagnose and treat your needs ... a friendly physician who counsels you on the best ways to maintain and improve your health. Our physicians meet all these criteria. Plus, you benefit from a dedicated team of trained professionals who give you the individualized attention you deserve.

Informed Patients

Atlantic Podiatry Associates believes that informed patients are better prepared to make decisions regarding their health and well being. That is why we've included an extensive section on this website covering the full array of topics associated with podiatry and podiatric diagnoses and treatments. We encourage you to look through these pages whenever you have an interest or concern about your feet.

Comfortable, Convenient Setting

The best care in the world doesn't mean anything if you can't access it. At Atlantic Podiatry Associates, we strive to make our offices as efficient and convenient as possible. Included in these web pages is information about Atlantic Podiatry Associates's offices, including our locations, maps, directions, hours, insurance policies and appointment scheduling

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Monday, September 5, 2011

Foot and Ankle Surgery - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Foot and Ankle Surgery - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Dr. Matthew Hentzel of Atlantic Podiatry discusses Foot and Ankle Surgery.

http://www.atlanticpodiatry.com

Surgery on the foot, ankle, or lower leg is usually performed by podiatric surgeons and orthopedic surgeons specializing in the foot and ankle.

Foot and ankle surgeries address a wide variety of foot problems, including:

  • Sprains and fractures.
  • Arthritis and joint disease.
  • Benign and malignant tumors.
  • Birth deformities.
  • Bunions.
  • Calluses and warts.
  • Corns and hammertoes.
  • Flatfeet.
  • Heel or toe spurs.
  • Neuromas (nerve tumors).

Many foot and ankle surgeries today can be performed in the doctor's office or a surgical center on an outpatient basis. They frequently can be performed using local anesthesia, in some cases combined with sedation. Most foot surgeries require a period of immobilization after the procedures with protective devices, such as a bandages, splints, surgical shoes, casts, or open sandals. Limited weight bearing, elevating and icing the foot, and keeping the area dry are commonly required for the first two weeks following surgery until sutures are removed. Most surgeons will encourage post-operative exercise of the foot and legs to speed recovery. In addition, many patients need additional therapy or treatments after surgery in order to aid in the healing and recovery process. These may include physiotherapy, orthotic devices, and special footwear. After sufficient healing time, which varies from procedure to procedure, most patients can resume wearing their usual footwear.

Visit our website: http://www.atlanticpodiatry.com

Heel Pain - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, F

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Heel Pain Treatment - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

 

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Dr Matthew Hentzel of Atlantic Podiatry discusses the symptoms, causes and treatments for Heel Pain (Plantar Fasciitis).

http://www.atlanticpodiatry.com

Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.

 

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Ingrown Toenail - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

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Treatment for Ingrown Toenails - Podiatrist in Daytona Beach, Port Orange, Palm Coast, Orange City, FL

 Dr. Matthew Hentzel of Atlantic Podiatry discusses the symptoms, causes and treatments for Ingrown Toenails.

http://www.atlanticpodiatry.com

Ingrown toenails, also known as onychocryptosis, is usually caused by trimming toenails too short, particularly on the sides of the big toes. They may also be caused by shoe pressure (from shoes that are too tight or short), injury, fungus infection, heredity, or poor foot structure. Ingrown toenails occur when the corners or sides of the toenail dig into the skin, often causing infection. A common ailment, ingrown toenails can be painful. Ingrown toenails start out hard, swollen, and tender. Left untreated, they may become sore, red, and infected and the skin may start to grow over the ingrown toenail.

In most cases, treating ingrown toenails is simple: soak the foot in warm, soapy water several times each day. Avoid wearing tight shoes or socks. Antibiotics are sometimes prescribed if an infection is present. Note: Please consult your physician before taking any medications. In severe cases, if an acute infection occurs, surgical removal of part of the ingrown toenail may be needed. Known as partial nail plate avulsion, the procedure involves injecting the toe with an anesthetic and cutting out the ingrown part of the toenail.

Ingrown toenails can be prevented by:

  • Trimming toenails straight across with no rounded corners.
  • Ensuring that shoes and socks are not too tight.
  • Keeping feet clean at all times.

Visit our website: http://www.atlanticpodiatry.com