How Do Ingrown Toenails Develop?
The definition of an ingrown toenail is when the nail grows into the surrounding skin. It can cause severe discomfort, and it may be painful to wear shoes. It can be caused by genetic factors, wearing shoes that do not fit correctly, and improperly trimming the toenails. Additionally, a toe injury, such as stubbing the toe, may cause an ingrown toenail to develop. Patients have found mild relief when the affected nail is soaked in warm water, followed by gently pulling the skin away from the nail. If you have an ingrown toenail, it is strongly suggested that you are under the care of a podiatrist who can offer you correct treatment techniques, which can possibly prevent an infection.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our podiatrists of William Street Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown Toenails
An ingrown toenail is a nail that has curved downward and grown into the skin. This typically occurs at either the nail borders or the sides of the nail. As a result, pain, redness, swelling, and warmth may occur in the toe. If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.
Ingrown toenails have multiple reasons for developing. In many instances, the condition is a result of genetics and is inherited. The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over. An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running. Wearing shoes that are too tight or too short can also cause ingrown toenails.
Treatment for an ingrown toenail varies between patients and the severity of the condition. In most cases, it is best to see your podiatrist for thorough and proper treatment. After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present. Surgical removal of either a portion of the nail or the entire nail may also be considered. In some cases, complete removal or destruction of the nail root may be required. Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.
Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes. When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short. Shoes should not be too short or tight in the toe box.
Why Wearing Flip-flops Regularly Can Be Bad For Your Feet
Flip-flops are easy to slip on and look great with your summer wardrobe. While they do have their place on the beach, around the pool, inside public locker rooms and showers, or outside getting the mail or letting the dog out, wearing them as regular footwear on a daily basis can ultimately be harmful to your body. Since flip-flops offer absolutely no arch support, over time you could develop pain in your arches, ankles, and knees. Flip-flops also offer scant cushioning and little support from the hard surface of the ground below which may eventually lead to heel pain and even plantar fasciitis—when the tissue connecting the bottom of your heel with your toes becomes stressed and damaged. Also, in order to keep the flip-flop on your feet, you instinctively curl your toes which changes how you walk and puts undue strain on your feet and lower back. A podiatrist can offer additional information on proper footwear and also treat any foot and ankle pain you may be experiencing.
Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact one of our podiatrists from William Street Podiatry. Our doctors will assist you with all of your foot and ankle needs.
Flip-Flops and Feet
Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.
When Are They Okay to Wear?
Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.
Why Are They Bad for My Feet?
These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.
More Reasons Why They Are Bad for Your Feet
- They Slow You Down
- May Cause Blisters and Calluses
- Expose Your Feet to Bacteria
If you have any questions, please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Flipping Out About Flip Flops
Although it may be tempting to wear flip-flops in warm weather, they are not the best choice of footwear for your feet. Flip-flops may be ideal for the beach, pool, spa, and shared showers, but you should avoid wearing them unless it is completely necessary.
Flip-flops only have a small strip of fabric holding your foot in place, but your toes need a better grip to keep your foot in place. The repetitive gripping can lead to an overuse of your muscles, which could result in tendinitis. This is only one of the many problems that stem from wearing flip-flops too often.
Flip flops aren’t good for extensive walking because they fail to offer arch support, heel cushioning, or shock absorption. As a result, people who wear flip flops are at a higher risk of experiencing an ankle sprain. Additionally, these shoes offer little protection for your feet, putting those who wear them at a greater risk for stubbed toes, glass cuts, and puncture wounds.
Although flip flops aren’t recommended for everyday use by anyone, it is especially important for diabetics to avoid them. A diabetic foot injury can easily become very serious, and it may even lead to amputation.
If you are experiencing pain from wearing flip-flops, you shouldn’t be hesitant to replace them with a more comfortable shoe that offers more support. If your flip-flop foot pain doesn’t go away, you should seek assistance from a podiatrist right away. It is possible that you may have a more serious foot problem such as a stress fracture or arthritis.
Risk Factors for Getting Gout
Gout is a type of arthritis that often affects the big toe joint. It is caused by excess uric acid in the bloodstream. When uric acid builds up, it can lodge in the joints of the foot and crystallize, leading to sudden and painful gout flare ups. Certain factors can increase your risk of developing gout. These include being male, having a family member with gout, being overweight, drinking alcohol, and eating foods that are high in purines. Purines are a chemical substance found in many foods, such as red meat and shellfish, which get converted into uric acid. Because of this, dietary modifications are often suggested to lower your risk of gout. For more information about gout, please consult with a podiatrist.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from William Street Podiatry. Our doctors will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Everything You Need to Know About Gout
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
It's Time for Beautiful Feet
You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.
Why Ankles Are so Important to Mobility
The ankle is a joint that connects the leg to the foot using a series of bones including the fibula, tibia, and the tarsal bones of the foot. The ankle is an integral part of a complex system that continually keeps our bodies balanced when we stand, and aids in our overall mobility. The foot needs the ankle in order to move up and down (dorsiflexion and plantarflexion), side-to-side (inversion and eversion), and to rotate either inward or outward (medially and laterally). Because of how active the ankle is in everyday movements as well as athletic activities, ankle injuries are quite common. Additionally, as we age, ankle mobility declines and makes us more prone to falling and other accidents. If you are experiencing any type of issue with your ankle, contact a podiatrist who can examine you and perform a variety of tests to detect any underlying cause of ankle pain, weakness, or mobility deterioration.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from William Street Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
- Broken bones
- Muscle strains
- Injuries to the tendons and ligaments
- Stress fractures
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
- Bruising
- Inflammation/ Swelling
- Pain
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
If you have any questions, please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot and Ankle Trauma
Broken Feet
A broken foot can either refer to a fracture or a straight break. The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are a result of an improper landing from a tall height. Twists or sprains are the other two frequent occurrences. As with all usual breaks, they result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time from repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break. Stress fractures result from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.
Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high, as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformities will become apparent. These symptoms indicate the need to see a medical professional with access to an x-ray facility.
Prior to seeing a specialist, precautions should be taken to reduce pain and swelling. Elevate and stabilize the foot, and refrain from moving it. Immobilization of the foot is the next priority, so creating a homemade splint is acceptable. Keep in mind that while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and relieve pain symptoms.
When dealing with a medical center, the patient should note that the treatment can vary. The treatment will depend on the severity of the fracture and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bones.
Broken Ankles
Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint, the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sits directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in our ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.
A broken ankle is different from an ankle sprain, which occurs when the ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate x-ray to determine the severity of the break.
A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activities. Another common cause is a fall or jump from a tall height.
One immediate treatment for pain relief is elevating the feet above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankles to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.
It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.
How Appropriate Footwear Reduces the Risk of Falling for Older Adults
Because older adults often deal with balance and mobility issues, their risk of falling is increased. Proper footwear can help reduce that risk, even in those with diabetes, arthritis and neurodegenerative diseases. High heels and sling-back or backless shoes can be particularly hazardous as they reduce a person’s ability to maintain balance. While older adults with diabetes or foot pain are often more familiar with foot care practices, all older adults can benefit from contacting a podiatrist to learn more about foot and ankle health and what shoes are best for improving balance and reducing their risk of falling and serious injury.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from William Street Podiatry. Our doctors will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
If you have any questions, please feel free to contact one of our offices located in William Street in New York, NY, Forest Hills, NY, and Broadway in New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
