Showing posts with label massachussetts. Show all posts
Showing posts with label massachussetts. Show all posts

Saturday, December 15, 2012

Foot Warts - Podiatrist in Dedham, Quincy MA

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Foot Warts - Podiatrist in Dedham, Quincy MA - Marshall Lukoff, DPM

 

Dr. Marshall Lukoff of FootCare Specialists discusses the symptoms, causes and treatments Foot Warts

 

http://www.footcarespecialistspc.com

 Most foot warts are harmless, even though they may be painful. They are often mistaken for 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 caused by a viral infection which invades the skin through small or invisible cuts and abrasions. Foot warts are generally raised and fleshy and can appear anywhere on the foot or toes. Occasionally, warts can spontaneously disappear after a short time, and then, just as frequently, they recur in the same location. If left untreated, warts can grow to an inch or more in circumference and can spread into clusters of warts. Children, especially teenagers, tend to be more susceptible to warts than adults.

Plantar warts, also known as verrucas, appear on the soles of the feet and are one of several soft tissue conditions that can be quite painful. Unlike other foot warts, plantar warts tend to be hard and flat, with a rough surface and well-defined boundaries. They are often gray or brown (but the color may vary), with a center that appears as one or more pinpoints of black. Plantar warts are often contracted by walking barefoot on dirty surfaces or littered ground. The virus that causes plantar warts thrives in warm, moist environments, making infection a common occurrence in public pools and locker rooms.

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. Plantar warts that develop on the weight-bearing areas of the foot (the ball or heel of the foot) can cause a 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.

To prevent the spread of warts, follow these tips:

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

It is important to note that warts can be very resistant to treatment and have a tendency to reoccur. Over-the-counter foot wart treatments are usually ineffective because their use can inadvertently destroy surrounding healthy tissue. Please contact our office for help in effectively treating warts. Our practice is expert in recommending the best treatment for each patient, ranging from prescription ointments or medications to, in the most severe cases, laser cautery.

 

 

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

 

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Morton’s Neuroma - Podiatrist in Dedham, Quincy MA - Marshall Lukoff, DPM

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Morton’s Neuroma - Podiatrist in  Dedham, Quincy MA - Marshall Lukoff, DPM

 

Dr. Marshall Lukoff of FootCare Specialists discusses the symptoms, causes and treatments Morton’s Neuroma

 

http://www.footcarespecialistspc.com

  A neuroma is an enlarged, benign growth of nerves, most commonly between the third and fourth toes. Neuromas are caused by tissue rubbing against and irritating the nerves. Pressure from poorly fitting shoes or an abnormal bone structure can also lead to this condition. Symptoms may include sensations of thickness, burning, numbness, tingling, or pain in the ball of the foot.  Treatments generally include wearing corrective shoes or orthotics and/or receiving cortisone injections. In severe cases, surgical removal of the growth may be necessary.

Morton's neuroma is a thickening of tissues around the nerve that leads to the toes. Morton's neuroma usually develops between the third and fourth toes in response to irritation, such as that caused by wearing high-heeled or narrow shoes, or from trauma. Symptoms may include a burning pain that radiates from the ball of the foot to the toes or numbness in the toes. Conservative treatments usually resolve the pain or progressions of the condition, and range from wearing roomier, lower-heeled footwear or using orthotics to reduce the pressure on the nerve, to injections of corticosteroid medication to reduce swelling and inflammation.

 

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

Shock Wave Therapy for Heel Pain - Podiatrist in Dedham, Quincy MA

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Shock Wave Therapy for Heel Pain - Podiatrist in Dedham, Quincy MA - Marshall L. Lukoff, DPM

 

Dr. Marshall Lukoff of FootCare Specialists discusses Shock Wave Therapy for Heel Pain.

 

http://www.footcarespecialistspc.com

SHOCKWAVE THERAPY FOR HEEL PAIN

At last, a safe and highly effective solution for the treatment of plantar fasciitis. 

Plantar fasciitis (commonly referred to as "heel spurs") is a common cause of heel pain and affects about 2.5 million people each year in the U.S.

Most people think that heel spurs are the cause of their foot pain, however, the pain is actually caused by the inflammation or irritation of the plantar fascia (the connective tissue that runs along the bottom of your foot). To date, the treatment options have been inadequate for many sufferers.

If this is you - or someone you know - then take note. Relief is finally here! Based on the same breakthrough technology that has been effectively treating kidney stones for more than 20 years, the recent FDA approved Epos Ultra uses shock waves (also known as pressure or sound waves) to provide sufferers with relief.

How does it work?

The device sends high-energy shock waves through the foot to jumpstart the healing process by regenerating blood vessels in the injured area while providing an analgesic effect.

 

This non-invasive outpatient procedure often requires only a single, 30-minute session and many insurance carriers are already covering the costs.

So come see for yourself. Call 855-FIT-FEET today for more information and to schedule a consultation.

 

 

 

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

Laser Therapy for Fungal Toenails - Podiatrist in Dedham, Quincy MA - Marshall Lukoff, DPM

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Laser Therapy for Fungal Toenails - Podiatrist in Dedham, Quincy MA - Marshall Lukoff, DPM

 

Dr. Marshall Lukoff of FootCare Specialists discusses Laser Therapy for Fungal Toenails.

 

http://www.footcarespecialistspc.com

 Welcome to LASER NAIL CENTER QUINCY

 


The Goal of our practice is to provide you with the very best medical care available today. Our physicians and staff work together to realize a shared vision of uncompromising excellence in care. We use state-of-the-art technologies combined with effective podiatric medical treatment to maximize your foot health.  We will listen to your concerns, earn your trust and exceed your expectations in a compassionate, professional and comfortable environment.  We look forward to meeting you to discuss all the services we can provide to improve your foot health including:

  • CoolTouch non-invasive Laser Treatment for Fungal Toenails and Fingernails
  • CO2 Surgical Laser for Ingrown Toenails, Warts and Neuromas
  • Extracorporeal Shock Wave Therapy for Heel Pain
  • Minimally Invasive Surgery under Fluoroscopy for Bunions and Hammertoes
  • Needle-Free Injections
  • Diabetic Foot Care and Rx. Shoes
  • Computer Gait Analysis to create very accurate Orthotics

 

 

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

Ingrown Toenails - Podiatrist in Dedham, Quincy MA - Marshall Lukoff, DPM

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Ingrown Toenails - Podiatrist in  Dedham, Quincy MA - Marshall Lukoff, DPM

 

Dr. Marshall Lukoff of FootCare Specialists discusses the symptoms, causes and treatments for Ingrown Toenails.

 

http://www.footcarespecialistspc.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.footcarespecialistspc.com

FootCare Specialists - Podiatrist in Dedham, Quincy MA - Marshall Lukoff, DPM

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FootCare Specialists - Podiatrist in Dedham, Quincy MA - Marshall Lukoff, DPM

 

Meet Podiatrist Dr. Marshall Lukoff of FootCare Specialists as he discusses Foot Care.

 

http://www.footcarespecialistspc.com

 

 The Goal of our practice is to provide you with the very best medical care available today. Our physicians and staff work together to realize a shared vision of uncompromising excellence in care. We use state-of-the-art technologies combined with effective podiatric medical treatment to maximize your foot health.  We will listen to your concerns, earn your trust and exceed your expectations in a compassionate, professional and comfortable environment.  We look forward to meeting you to discuss all the services we can provide to improve your foot health including:

  • CoolTouch non-invasive Laser Treatment for Fungal Toenails and Fingernails
  • CO2 Surgical Laser for Ingrown Toenails, Warts and Neuromas
  • Extracorporeal Shock Wave Therapy for Heel Pain
  • Minimally Invasive Surgery under Fluoroscopy for Bunions and Hammertoes
  • Needle-Free Injections
  • Diabetic Foot Care and Rx. Shoes
  • Computer Gait Analysis to create very accurate Orthotics

 

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

Hammertoes and Corns - Podiatrist in Dedham, Quincy, MA - Marshall Lukoff, DPM

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Hammertoes and Corns - Podiatrist in Dedham, Quincy, MA - Marshall Lukoff, DPM

 

Dr. Marshall Lukoff of FootCare Specialists discusses the symptoms, causes and treatments for Hammertoes and Corns.

 

http://www.footcarespecialistspc.com

Hammertoe is a deformity of the second, third, or fourth toes. In this condition, the toe is bent at the middle joint, causing it to resemble a hammer. Left untreated, hammertoes can become inflexible and require surgery. People with hammertoe may have corns or calluses on the top of the middle joint of the toe or on the tip of the toe. They may also feel pain in their toes or feet and have difficulty finding comfortable shoes.

Causes of hammertoe include improperly fitting shoes and muscle imbalance.

Treatment for the condition typically involves wearing shoes with soft, roomy toe boxes and toe exercises to stretch and strengthen the muscles. Commercially available straps, cushions, or nonmedicated corn pads may also relieve symptoms.

In severe cases, hammertoe surgery may be recommended to correct the deformity.

 

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

Podiatrist in Dedham,Quincy MA - Children’s Foot Care - Marshall L. Lukoff, DPM

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Podiatrist in  Dedham,Quincy  MA - Children’s Foot Care - Marshall L. Lukoff, DPM

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Dr. Marshall Lukoff of FootCare Specialists discusses Children’s Foot Care and Foot Problems.

 

http://www.footcarespecialistspc.com

 

Children with strong, healthy feet avoid many kinds of lower extremity problems later in life. That's why it is important to inspect your children's feet periodically.

Infants

The size and shape of your baby's feet change quickly during their first year. Because a baby's feet are flexible, too much pressure or strain can affect the shape of their feet. It's important to allow baby to kick and stretch their feet freely. Also, make sure shoes and socks do not squeeze the toes.

Toddlers

Do not to force a toddler to walk before s/he is ready. Once walking begins, watch the toddler's gait. Many toddlers have a pigeon-toe gait, which is normal. Some initially learn to walk landing on their toes instead of their heels. Most children outgrow both these problems. But other conditions detected early can be treated more easily.

When Foot Care Is Needed

To help with flatfeet, special shoes or orthotics may be prescribed. To correct mild in-toeing or out-toeing, your toddler may need to sit in a different position while playing or watching TV. If your child's feet turn in or out a lot, corrective shoes, splints, or night braces may be prescribed.

The foot's bone structure is well-formed by the time your child reaches age 7 or 8, but if a growth plate (the area where bone growth begins) is injured, the damaged plate may cause the bone to grow oddly. With a doctor's care, however, the risk of future bone problems is reduced.

Remember to check your child's shoe size often. Make sure there is space between the toes and the end of the shoe and that the shoes are roomy enough to allow the toes to move freely. Don't let your child wear hand-me-down shoes.

 

 

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

Monday, July 16, 2012

Fall Risk Prevention - Norwood, MA Podiatrist - Leroy Kelley, DPM - Norwood Podiatry Associates

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Fall Risk Prevention Program - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

Dr. Leroy Kelley of Norwood Podiatry Associates discusses Fall Risk Prevention.

http://www.norwoodpodiatry.com

Foot Care For Seniors

Experts say that problems with our feet can be the first sign of more serious medical conditions such as arthritis, diabetes, and nerve and circulatory disorders.

Here are some foot care tips for older people:

  • Practice good foot care. Check your feet regularly, or have a member of your family check them.
  • It also helps to keep blood circulating to your feet as much as possible. Do this by putting your feet up when you are sitting or lying down, stretching if you've had to sit for a long while, walking, having a gentle foot massage, or taking a warm foot bath.
  • Avoid pressure from shoes that don't fit right.
  • Avoid exposing your feet to cold temperatures.
  • Don't sit for long periods of time (especially with your legs crossed).
  • Don't smoke because it decreases blood supply and increases the chance of swelling and other circulatory problems.
  • Wear comfortable shoes that fit well. This can prevent many foot problems.

 

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

 

Custom Orthotics - Norwood, MA Podiatrist - Leroy Kelley, DPM Norwood Podiatry Associates

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Custom Orthotics - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

Dr. Leroy Kelley of Norwood Podiatry Associates discusses Custom Orthotics for foot problems.

http://www.norwoodpodiatry.com 

 Orthotics

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.norwoodpodiatry.com 

 

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Wound Care - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Diabetic Wound Care

 

 

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Wound Care - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

Dr. Leroy Kelley of Norwood Podiatry Associates discusses Wound Care.

http://www.norwoodpodiatry.com

  DIABETES AND THE FEET
LeRoy J. Kelley, III, DPM

All of us are likely to have problems with our feet, but diabetics may develop serious problems more quickly and have more complications, especially when circulation or nerves are impaired. A random survey of diabetic patients in the outpatient clinic of a Veteran’s Administration hospital found 50% with circulation and nerve damage plus some type of foot deformity. When circulation is poor, the tissue is less able to fight infection. When nerves are impaired, an injury can occur without pain and as a result, may go unnoticed.

The key for the diabetic is to view all foot problems as potentially dangerous and to prevent them and seek podiatric care as soon as they occur.

Except for blindness, the complication most heard about diabetics is loss of a leg. This widespread concern is realistic.

--30% of all diabetics have peripheral vascular disease.
--Of all non-traumatic amputations in the U.S., 50% to 70% are performed on diabetics.

Poor circulation often happens in diabetics which can lead to serious complications. Chronically tired or painful feet may mean circulation is poor. Symptoms such as numbness, tingling, cold or blue feet, and swelling that will not go down indicate poor circulation. Cramping may occur at night, during rest, or while walking a short distance. Smoking and stress usually increase the severity of the symptoms. Examination by a podiatrist will reveal any circulatory deficiencies.

Diabetic neuropathy can cause sensitivity or a loss in ability to feel pain, heat or cold. If precautions are not taken, a hot bath can be a potential for a burn. Position sense is often lost in neuropathy so the feet scrape objects in their path. Diabetics can be unsteady on feet with loss of balance causing falls. Diabetic neuropathy can also affect the muscles of the feet causing deformity such as hammertoes.

When insensivity is present, serious problems such as ulcers and gangrene can occur without pain. The infection may go unnoticed and appropriate care may be delayed until too late. By the time the trouble is discovered, amputation may be necessary to save the person’s life. Daily observation of the feet is necessary by a diabetic, responsible family member, or other party.

Ulcers can be caused by lack of blood circulating to the foot, lack of soft tissue protection, excessive callus tissue, infection, and pressure points caused by deformities. Some causes of injury and ulcers are wearing ill-fitting shoes, performing self-surgery, applying electric heating pads or hot water bottles, and using ingrown toenail and corn remedies. If the circulatory response is adequate, most diabetic ulcers can be healed if diagnosed and treated early.

Skin changes in the foot can be caused by diabetes. Dehydration is common since the diabetic has less natural lubrication than the non-diabetic. Fissures and cracks in skin develop and often itching can become severe. Scratching can cause breaks in the skin that may become infected. Dryness can be helped by using a good skin cream daily on every part of the foot except between the toes.

Cuts, scrapes, blisters, and puncture wounds can cause serious problems. To prevent such injuries, diabetics should always wear some kind of footwear. If foreign bodies, such as splinters, become lodged in the foot, or if an infection or puncture wound occurs, the diabetic should be treated promptly by a professional.

Ingrown toenails can cause infections which tend to be especially severe in diabetics. To treat the problem, the podiatrist may drain the infection to relieve the pressure, prescribe an antibiotic, and recommend special home care to help the infection heal.

Athlete’s foot is a fungal infection common in diabetics. If it or the skin rashes are not promptly treated, secondary bacterial infections that require vigorous treatment with antibiotics may develop.
Structural changes in the feet of healthy adults may also occur in the feet of diabetics and these problems can be far more serious because the disease causes changes in the nervous system. These changes in turn may prevent the diabetic from experiencing or expressing pain or discomfort and will require evaluation on a continuous basis to prevent serious bone and joint changes.

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

 

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Foot Warts - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

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Foot Warts (Plantar Warts) - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

Dr. Leroy Kelley of Norwood Podiatry Associates discusses Foot Warts (Plantar Warts).

http://www.norwoodpodiatry.com

  

Warts


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.norwoodpodiatry.com

Podiatry Technology Advances - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

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Technology Advances in Podiatry - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

Dr. Leroy Kelley of Norwood Podiatry Associates discusses Technology Advances in Podiatry.

http://www.norwoodpodiatry.com

 Extracorporeal Shock Wave

Extracorporeal shock wave therapy is used to treat chronic heel pain (plantar fasciitis/heel spur syndrome). During this non-invasive surgical procedure, sonic waves are directed at the area of pain using a device similar to that currently used in non-surgical treatment of kidney stones."Extracorporeal" means "outside of the body," and refers to this non-invasive surgical procedure in which strong sound waves are directed at the area of heel pain.

During the usually brief procedure of about 30 minutes, performed under local anesthesia and/or "twilight" anesthesia, strong sound waves penetrate the heel area and stimulate a healing response by the body. An overnight hospital stay is not necessary since extracorporeal shock wave therapy is performed on an outpatient basis.

This therapy is a safe and effective alternative treatment for heel pain and only requires a very short recovery time, mainly due to the elimination of costly and invasive surgical procedures. Contact us today to receive more information or to discuss the treatment options for extracorporeal shock wave therapy.

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

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Fungal Toenails - Podiatrist in Norwood, MA - Norwood Podiatry Associates - Leroy Kelley, DPM

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Fungal Toenails - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

Dr. Leroy Kelley of Norwood Podiatry Associates discusses Toenail Fungus treatment.

http://www.norwoodpodiatry.com

 Nail Fungus

Many people don't realize they have a fungal nail problem. Moreover, many do don't seek treatment. Still, fungal toenail infections are a common foot health problem.

Such infections 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, but it can present serious problems if left untreated.

Also referred to as Onychomycosis, fungal nail infections are an infection underneath the surface of the nail, which can also penetrate the nail. In addition to causing difficulty and pain when walking or running, fungal nail infections are often accompanied by a secondary bacterial and/or yeast infection in or about the nail plate.

A group of fungi called dermophytes easily attack the nail, thriving off keratin, the nail's protein substance. When the 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 and 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 your 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 life styles.
  • 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, while sometimes effective, 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 by a process called debridement.

In some cases, surgical treatment is prescribed, during which the infected nail is removed. 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.norwoodpodiatry.com

Ankle Surgery & Foot Surgery - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

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Foot Surgery and Ankle Surgery - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

Dr. Leroy Kelley of Norwood Podiatry Associates discusses Foot and Ankle Surgery.

http://www.norwoodpodiatry.com

General Information

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

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.
  • Ingrown toenails.
  • Neuromas (nerve tumors).

Many kinds of foot surgeries require you to have your foot immobilized after the procedures with such things as a bandage, splint, surgical shoe, cast, or open sandal. Most surgeons will encourage post-operative exercise of the foot and legs to speed recovery. After sufficient healing time, most patients can resume wearing their usual footwear.

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 (foot supports), and special footwear.

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

 

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Children’s Foot Problems - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

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Children’s Foot Care - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

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Dr. Leroy Kelley of Norwood Podiatry Associates discusses Children’s Foot Care and Foot Problems.

http://www.norwoodpodiatry.com

 Children`s Feet

Children with strong, healthy feet often avoid many kinds of lower extremity problems later in life. Contact our office to have your children's feet and lower extremities examined.

Infants

The size and shape of your baby's feet change quickly during their first year. Because a baby's feet are flexible, too much pressure or strain can affect their feet's shape. It's important to allow your baby to kick and stretch his or her feet. Also, make sure shoes and socks do not squeeze the toes.

Toddlers

Try not to force your toddler to walk before she is ready. Carefully watch her gait once she begins to walk. If your toddler's toe touches down instead of the heel, or she always sits while others play, contact our office. Many toddlers have a pigeon-toe gait, and this is normal. Most children outgrow the problem.

When foot care is needed

To help with flatfeet, special shoes or custom-made shoe inserts may be prescribed. To correct mild intoeing, your toddler may need to sit in a different position while playing or watching TV. If you child's feet turn in or out a lot, corrective shoes, splints, or night braces may be prescribed.

The foot's bone structure is well-formed by the time your child reaches age 7 or 8, but if a growth plate (the area where bone growth begins) is injured, the damaged plate may cause the bone to grow oddly. With a doctor's care, however, the risk of future bone problems is reduced.

Remember to check your child's shoe size often. Make sure there is space between the toes and the end of the shoe, Make sure their shoes are roomy enough to allow the toes to move freely. Don't let your child wear hand-me-downs.

 

 

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

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Foot Physical Therapy - Norwood Podiatry Associates - Podiatrist in Norwood, MA - Leroy Kelley, DPM

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Physical Therapy for Foot Problems - Podiatrist in Norwood, MA - Leroy Kelley, DPM - Norwood Podiatry Associates

 

Physical Therapist, Barbara Battaglia, of Rehabilitation Solutions at Norwood Podiatry Associates discusses physical therapy for foot problems.

http://www.norwoodpodiatry.com

 Physical Therapy

Physical therapy can often help decrease the pain and swelling in a painful area of the foot or ankle. Such problems as heel spurs, bursitis, plantar fasciitis, bunions, corns and calluses - and post-operative surgical conditions - often respond well to physical therapy.

Common kinds of physical therapy may include hot packs, massage, electrical stimulation, ultra sound, paraffin baths, and diathermy to relieve pain and swelling and to increase range of motion.

 

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

 

 

Thursday, October 6, 2011

Heel Pain - Podiatrist in Newburyport and Chelmsford, MA

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Heel Pain Treatment  - Podiatrist in Newburyport and Chelmsford, MA

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http://www.nefootankle.com

Heel Pain - Plantar Fasciitis

In our pursuit of healthy bodies, pain can be an enemy. In some instances, however, it is of biological benefit. Pain that occurs right after an injury or early in an illness may play a protective role, often warning us about the damage we've suffered.

When we sprain an ankle, for example, the pain warns us that the ligament and soft tissues may be frayed and bruised, and that further activity may cause additional injury.

Pain, such as may occur in our heels, also alerts us to seek medical attention. This alert is of utmost importance because of the many afflictions that contribute to heel pain.

Heel Pain

Heel pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from injury, or a bruise incurred while walking, running, or jumping on hard surfaces; wearing poorly constructed footwear; or being overweight.

The heel bone is the largest of the 26 bones in the human foot, which also has 33 joints and a network of more than 100 tendons, muscles, and ligaments. Like all bones, it is subject to outside influences that can affect its integrity and its ability to keep us on our feet. Heel pain, sometimes disabling, can occur in the front, back, or bottom of the heel.

A common cause of heel pain is the heel spur, a bony growth on the underside of the heel bone. The spur, visible by X ray, appears as a protrusion that can extend forward as much as half an inch. When there is no indication of bone enlargement, the condition is sometimes referred to as "heel spur syndrome."

Heel spurs result from strain on the muscles and ligaments of the foot, by stretching of the long band of tissue that connects the heel and the ball of the foot, and by repeated tearing away of the lining or membrane that covers the heel bone. These conditions may result from biomechanical imbalance, running or jogging, improperly fitted or excessively worn shoes, or obesity.

Plantar Fasciitis

Both heel pain and heel spurs are frequently associated with an inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar surface) of the foot, from the heel to the ball of the foot. The inflammation is called plantar fasciitis. It is common among athletes who run and jump a lot, and can be quite painful.

The condition occurs when the plantar fascia is strained over time beyond its normal extension, causing the soft tissue fibers of the fascia to tear or stretch at points along its length; this leads to inflammation, pain, and possibly the growth of a bone spur where it attaches to the heel bone.

The inflammation may be aggravated by shoes that lack appropriate support, especially in the arch area, and by the chronic irritation that sometimes accompanies an athletic lifestyle.

Resting provides only temporary relief. When you resume walking, particularly after a night's sleep, you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk, the heel pain may lessen or even disappear, but that may be just a false sense of relief. The pain often returns after prolonged rest or extensive walking.

Excessive Pronation

Heel pain sometimes results from excessive pronation. Pronation is the normal flexible motion and flattening of the arch of the foot that allows it to adapt to ground surfaces and absorb shock in the normal walking pattern.

As you walk, the heel contacts the ground first; the weight shifts first to the outside of the foot, then moves toward the big toe. The arch rises, the foot generally rolls upward and outward, becoming rigid and stable in order to lift the body and move it forward. Excessive pronation—excessive inward motion—can create an abnormal amount of stretching and pulling on the ligaments and tendons attaching to the bottom back of the heel bone. Excessive pronation may also contribute to injury to the hip, knee, and lower back.

Disease and Heel Pain

  • Some general health conditions can also bring about heel pain.
  • Rheumatoid arthritis and other forms of arthritis, including gout, which usually manifests itself in the big toe joint, can cause heel discomfort in some cases.
  • Heel pain may also be the result of an inflamed bursa (bursitis), a small, irritated sack of fluid; a neuroma (a nerve growth); or other soft-tissue growth. Such heel pain may be associated with a heel spur, or may mimic the pain of a heel spur.
  • Haglund's deformity ("pump bump") is a bone enlargement at the back of the heel bone, in the area where the Achilles tendon attaches to the bone. This sometimes painful deformity generally is the result of bursitis caused by pressure against the shoe, and can be aggravated by the height or stitching of a heel counter of a particular shoe.
  • Pain at the back of the heel is associated with inflammation of the achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone. The inflammation is called achilles tendonitis. It is common among people who run and walk a lot and have tight tendons. The condition occurs when the tendon is strained over time, causing the fibers to tear or stretch along its length, or at its insertion on to the heel bone. This leads to inflammation, pain, and the possible growth of a bone spur on the back of the heel bone. The inflammation is aggravated by the chronic irritation that sometimes accompanies an active lifestyle and certain activities that strain an already tight tendon.
  • Bone bruises are common heel injuries. A bone bruise or contusion is an inflammation of the tissues that cover the heel bone. A bone bruise is a sharply painful injury caused by the direct impact of a hard object or surface on the foot.
  • Stress fractures of the heel bone also can occur, but these are less frequent.

Children’s Heel Pain

Heel pain can also occur in children, most commonly between ages 8 and 13, as they become increasingly active in sports activity in and out of school. This physical activity, particularly jumping, inflames the growth centers of the heels; the more active the child, the more likely the condition will occur. When the bones mature, the problems disappear and are not likely to recur. If heel pain occurs in this age group, podiatric care is necessary to protect the growing bone and to provide pain relief. Other good news is that heel spurs do not often develop in children.

Prevention

A variety of steps can be taken to avoid heel pain and accompanying afflictions:

  • Wear shoes that fit well — front, back, and sides — and have shock-absorbent soles, rigid shanks, and supportive heel counters.
  • Wear the proper shoes for each activity.
  • Do not wear shoes with excessive wear on heels or soles.
  • Prepare properly before exercising. Warm up and do stretching exercises before and after running.
  • Pace yourself when you participate in athletic activities.
  • Don’t underestimate your body's need for rest and good nutrition.
  • If obese, lose weight.

Podiatric Medical Care

If pain and other symptoms of inflammation—redness, swelling, heat—persist, you should limit normal daily activities and contact a doctor of podiatric medicine.

The podiatric physician will examine the area and may perform diagnostic X rays to rule out problems of the bone.

Early treatment might involve oral or injectable anti-inflammatory medication, exercise and shoe recommendations, taping or strapping, or use of shoe inserts or orthotic devices. Taping or strapping supports the foot, placing stressed muscles and tendons in a physiologically restful state. Physical therapy may be used in conjunction with such treatments.

A functional orthotic device may be prescribed for correcting biomechanical imbalance, controlling excessive pronation, and supporting of the ligaments and tendons attaching to the heel bone. It will effectively treat the majority of heel and arch pain without the need for surgery.

Only a relatively few cases of heel pain require more advanced treatments or surgery. If surgery is necessary, it may involve the release of the plantar fascia, removal of a spur, removal of a bursa, or removal of a neuroma or other soft-tissue growth.

There has never been a better time for chronic heel pain sufferers than now. Extracorporeal Shockwave Therapy is now being offered by the physicians at Chelmsford Podiatric Associates. This new technology is noninvasive, and does not carry the potential risks or recovery period associated with conventional surgery. Learn more about treating heel pain and the Shockwave Treatment.

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

 

Mortons Neuroma - Podiatrist in Newburyport and Chelmsford, MA

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Mortons Neuroma - Podiatrist in Newburyport and Chelmsford, MA

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 What is a Neuroma?

A neuroma is a painful condition, also referred to as a “pinched nerve” or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes that brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot.

The principle symptom associated with a neuroma is pain between the toes while walking. Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe. The vast majority of people who develop neuromas are women.

Symptoms

  • Pain in the forefoot and between the toes.
  • Tingling and numbness in the ball of the foot.
  • Swelling between the toes.
  • Pain in the ball of the foot when weight is placed on it.

How Do You Get a Neuroma?

Although the exact cause for this condition is unclear, a number of factors can contribute to the formation of a neuroma.

Biomechanical deformities, such as a high-arched foot or a flat foot, can lead to the formation of a neuroma. These foot types bring on instability around the toe joints, leading to the development of the condition.

Trauma can cause damage to the nerve, resulting in inflammation or swelling of the nerve.

Improper footwear that causes the toes to be squeezed together are problematic. Avoid high-heeled shoes higher than two inches. Shoes at this height can increase pressure on the forefoot area.

Repeated stress, common to many occupations, can create or aggravate a neuroma.

What Can You Do for Relief?

  • Wear shoes with plenty of room for the toes to move, low heels, and laces or buckles that allow for width adjustment.
  • Wear shoes with thick, shock-absorbent soles and proper insoles that are designed to keep excessive pressure off of the foot.
  • High heels should be avoided whenever possible because they place undo strain on the forefoot and can contribute to a number of foot problems.
  • Resting the foot and massaging the affected area can temporarily alleviate neuroma pain. Use an ice pack to help to dull the pain and improve comfort.
  • For simple, undeveloped neuromas, a pair of thick-soled shoes with a wide toe box is often adequate treatment to relieve symptoms, allowing the condition to diminish on its own. For more severe conditions, however, podiatric medical treatment or surgery may be necessary to remove the tumor.
  • Use over-the-counter shoe pads. These pads can relieve pressure around the affected area.

Treatment by Your Podiatric Physician

Treatment options vary with the severity of each neuroma, and identifying the neuroma early in its development is important to avoid surgical correction. Podiatric medical care should be sought at the first sign of pain or discomfort; if left untreated, neuromas tend to get worse.

The primary goal of most early treatment regimens is to relieve pressure on areas where a neuroma develops. Your podiatric physician will examine and likely X-ray the affected area and suggest a treatment plan that best suits your individual case.

Padding and Taping:

Special padding at the ball of the foot may change the abnormal foot function and relive the symptoms caused by the neuroma.

Medication:

Anti-inflammatory drugs and cortisone injections can be prescribed to ease acute pain and inflammation caused by the neuroma.

Orthotic Devices:

Custom shoe inserts made by your podiatrist may be useful in controlling foot function. An orthotic device may reduce symptoms and prevent the worsening of the condition.

Surgical Options:

When early treatments fail and the neuroma progresses past the threshold for such options, podiatric surgery may become necessary. The procedure, which removes the inflamed and enlarged nerve, can usually be conducted on an outpatient basis, with a recovery time that is often just a few weeks. Your podiatric physician will thoroughly describe the surgical procedures to be used and the results you can expect. Any pain following surgery is easily managed with medications prescribed by your podiatrist.

Your Feet Aren’t Supposed to Hurt

Remember that foot pain is not normal, and any disruption in foot function limits your freedom and mobility. It is important to schedule an appointment with your podiatrist at the first sign of pain or discomfort in your feet, and follow proper maintenance guidelines to ensure their proper health for the rest of your life. The advice in this pamphlet should not be used as a substitute for a consultation or evaluation by a podiatric physician.


A New Neuroma Treatment called Sclerosing Injection Therapy

Morton's Neuroma

This condition was first described by T. G. Morton in 1876. He used the more vague terminology of "metatarsalgia" to describe a painful condition in the ball of the foot. Pain is caused by pressure on the digital nerves as they pass between the heads of the metatarsal bones, most commonly between the third and fourth toes, and secondarily between the second and third toes. Patients often feel cramping, tingling or burning and occasionally shooting pains in their forefoot or toes. Many feel the need to remove their shoe to massage the painful area.

Sclerosing Injection Therapy

Surgical excision (neurectomy) to remove a neuroma is frequently done when cortisone injections, foot inserts and anti-inflammatory medication fail. However, surgery should be considered as a last option due to the associated risks such as infection, scar tissue or recurrence. Sclerosing (sometimes called alcohol surgery) can be a wonderful alternative to surgical excision. Alcohol hampers the nerve's ability to transmit painful impulses. Alcohol injections affect the nerve by causing a "short circuit", desensitizing the painful area with mild numbness. This is exactly the same result that we aim for with surgery!

Sclerosing therapy can be done in the office and often produces the same level of relief without the risks associated with surgery. More importantly, there are no restrictions on activity after the injections, as there would be with surgery. Patients can expect good results, as success rates are between 70-80%. In rare cases where the therapy was not successful, surgery is still an option.

Neuroma sclerosis requires a series of weekly injections. After 3 injections, pre-treatment symptoms are reevaluated. If no improvement is noted, the series will be discontinued. However, if some improvement is noted, then the series will be completed, up to a total of 7 injections.

Note: Because injections have been given a "surgery code" by insurance companies, it will appear on your Explanation of Benefits as a surgery, even though you never approached an operating room.

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

Foot Warts - Podiatrist in Newburyport and Chelmsford, MA

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Foot Warts  - Podiatrist in Newburyport and Chelmsford, MA

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What are plantar warts?
Warts are one of several soft tissue conditions of the foot that can be quite painful. They are caused by a virus, which generally invades the skin through small or invisible cuts and abrasions. They can appear anywhere on the skin, but, technically, only those on the sole are properly called plantar warts.

Children, especially teenagers, tend to be more susceptible to warts than adults; some people seem to be immune. 

Identification Problems

Most warts are harmless, even though they may be painful. They are often mistaken for corns or calluses—which are layers of dead skin that build up to protect an area which is being continuously irritated. The wart, however, is a viral infection.

It is also possible for a variety of more serious lesions to appear on the foot, including malignant lesions such as carcinomas and melanomas. Although rare, these conditions can sometimes be misidentified as a wart. It is wise to consult a podiatric physician when any suspicious growth or eruption is detected on the skin of the foot in order to ensure a correct diagnosis.

Plantar warts tend to be hard and flat, with a rough surface and well-defined boundaries; 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.

Source of the Virus

The plantar wart is often contracted by walking barefoot on dirty surfaces or littered ground where the virus is lurking. The causative virus thrives in warm, moist environments, making infection a common occurrence in communal bathing facilities.

If left untreated, warts can grow to an inch or more in circumference and can spread into clusters of several warts; these are often called mosaic 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.

When plantar warts develop on the weight-bearing areas of the foot—the ball of the foot, or the heel, for example—they can be the source of 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.

Tips for Prevention

  • Avoid walking barefoot, except on sandy beaches.
  • Change shoes and socks daily.
  • Keep feet clean and dry.
  • Check children's feet periodically.
  • Avoid direct contact with warts—from other persons or from other parts of the body.
  • Do not ignore growths on, or changes in, your skin.
  • Visit your podiatric physician as part of your annual health checkup.

Self Treatment

Self treatment is generally not advisable. Over-the-counter preparations contain acids or chemicals that destroy skin cells, and it takes an expert to destroy abnormal skin cells (warts) without also destroying surrounding healthy tissue. Self treatment with such medications especially should be avoided by people with diabetes and those with cardiovascular or circulatory disorders. Never use them in the presence of an active infection.

Professional Treatment

It is possible that your podiatric physician will prescribe and supervise your use of a wart-removal preparations. More likely, however, removal of warts by a simple surgical procedure, performed under local anesthetic, may be indicated.

Lasers have become a common and effective treatment. A procedure known as CO2 laser cautery is performed under local anesthesia either in your podiatrist’s office surgical setting or an outpatient surgery facility. The laser reduces post-treatment scarring and is a safe form for eliminating wart lesions.

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

*Article and pictures provided by the American Podiatric Medical Association.