Posts for: April, 2012
A bunion is a bump by the first toe. The bump can be painful when rubbing in a shoe. Many times patients are told that they need surgery for the pain. Very often the pain is not really on the outside of the bunion, but inside of the joint. For these patients surgery is not the answer. There is a simple 2 minute treatment that is done in the office that makes surgery unnecessary. In my office many patients are told not to have surgery unless this treatment is tried.
Just like the cold virus makes you sneeze, warts are skin manifestations of a virus. Most people come to the office thinking that there is a splinter on the bottom of the foot. Did you know that plantar wart just means a wart on the bottom (plantar) aspect of the foot. There is no single treatment that works on all people. Various methods include: topical medicine, oral medicine, injected medicine, laser, freezing as well as surgical removal. What determines which method is used is the age of the patient, location, size, depth, medical history, length of time of lesion as well as other factors. Our office offers many different types of treatments to accommodate everyones needs.
Not all nail discoloration is nail fungus. Lichen Simplex Chronicus, Psoriasis, and Pityriasis Rosea are three entities that can look like nail fungus. Assuming you have a nail infected with fungus, there are unique types of fungus that need to be treated differently. The common treatment for nail fungus is: topical and oral medications, Mechanical shaving of the nail, surgical procedures and Laser nail treatment. Make sure you know what nail problem you have before starting any treatment. All of these treatments are available in our offices.
Around the age of 10 years old, it is common to see an active child with heel pain. It is most noticeable after gym or a sporting activity. The most common diagnosis I see for this problem is "apophysitis" or as it is more commonly known: "Severs Heel". This is an inflammation of the growth plate in the back of the heel. Treatment is always conservative and very effective. Stretching, ice, and anti-inlammatories work well. A visit to the podiatrist will be very useful to determine what else the pain might be from.
Flat feet in children should not be considered a cosmetic problem. There are many reasons for this condition. I will speak of these different causes in a later blog. Have you ever walked in dry sand? It feels comfortable for the first few steps but after that it becomes exhausting. The reason being is that the sand absorbs all of your energy as you step down. The same thing happens with a child with a flat foot (sometimes called pes planus). The foot absorbs too much energy to allow the child to propel foward. For the child it is like walking uphill all the time. Complaints of "I am tired" , "can you carry me" are common. Custom made orthotics are a simple yet effective treatment for this problem.