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October 2023

Tuesday, 31 October 2023 00:00

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.

Tuesday, 31 October 2023 00:00

Painful Ingrown Toenails

Ingrown toenails, a common foot ailment, occur when the toenail's edge grows into the surrounding skin, often causing pain, redness, and swelling. This condition can affect any toe but is most frequently seen on the big toe. The causes of ingrown toenails are diverse, typically stemming from improper nail trimming, where cutting the nail too short or rounding its edges can encourage it to grow into the skin. Wearing ill-fitting shoes that compress the toes or trauma to the nail can also trigger ingrowth. Additionally, some individuals may have a genetic predisposition to ingrown toenails due to the natural shape of their nails. Hygiene also plays a role, as fungal infections can thicken the nail, making it more likely to become ingrown. If not addressed promptly, ingrown toenails can lead to infections, making early care essential for foot health. If you have developed an ingrown toenail, it is strongly suggested that you are under the care of a podiatrist who can effectively treat this condition.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Stephen Petrofsky of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our office located in Port Charlotte, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 24 October 2023 00:00

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.

Tuesday, 24 October 2023 00:00

Risk Factors and Symptoms of Ankle Gout

Gout is a painful form of inflammatory arthritis that can affect various joints in the body, usually the big toe. When it strikes the ankle, it's referred to as ankle gout. This condition can be identified by sudden and intense pain, swelling, and redness in the affected joint. The root cause of gout in the ankle is a buildup of uric acid. This waste product is produced during the breakdown of purines, which are found in certain foods, like red meat and seafood. Normally, your body transports uric acid to the kidneys for elimination in urine. But if not properly flushed out, excessive uric acid remains in the bloodstream, termed hyperuricemia. Eventually, uric acid crystals can accumulate in certain joints, including the ankle joint, and cause the classic symptoms of pain, swelling, and redness. Gout flares usually peak within 12 to 24 hours of onset and gradually improve over one to two weeks, with or without treatment. Some individuals may experience only one gout flare in their lifetime, while others suffer from recurring flares. In cases of recurring gout flares, symptoms can become more severe and prolonged, potentially leading to joint damage. If you suspect you have ankle gout, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and more advanced treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Stephen Petrofsky from Florida. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

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Tuesday, 17 October 2023 00:00

What to Know About a Broken Toe

Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications. However, it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any more additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it. Then, tape the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery, especially when the big toe has been broken. Due to its position and the pressure the big toe endures with daily activity, future complications can occur if it is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications. Prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma. They will be able to diagnose the injury and recommend the appropriate treatment options. 

Tuesday, 17 October 2023 00:00

Tips for a Speedy Recovery From a Broken Toe

A broken toe can be a painful and inconvenient injury, but with proper care, you can help it heal more quickly and minimize discomfort. First and foremost, it is essential to rest and protect the injured toe. This means avoiding putting weight on it and wearing comfortable, supportive footwear. Swelling and pain can be reduced by elevating the foot whenever possible, and taking over-the-counter pain relievers may provide some relief. In some cases, a splint or buddy taping the broken toe to its neighbor toe can aid in stabilization. Be mindful of any signs of infection, such as increased pain, redness, or discharge, and seek medical attention promptly if you notice these symptoms. Patience is key when caring for a broken toe, as it may take several weeks to fully heal. If you have broken your toe, it is suggested that you contact a podiatrist who can accurately diagnose this condition, and guide you toward the treatment that is right for you.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Dr. Stephen Petrofsky from Florida. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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

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Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 10 October 2023 00:00

How to Care for Your Child's Feet

It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.

A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.

It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.

Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.

As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.

Tuesday, 10 October 2023 00:00

Facts About Children Walking on Tiptoe

While occasional tiptoe walking is normal in toddlers who are exploring their bodies, persistent tiptoe walking may signal underlying issues that require attention from a podiatrist. One common cause is idiopathic toe walking, as sometimes children walk on tiptoe without any apparent reason. This condition usually resolves by the time the child is three years old, but persistent cases may require evaluation. Another potential cause is a tight Achilles tendon, as a shortened Achilles tendon can make it uncomfortable for a child to place their heels on the ground. Some children with sensory processing disorders may prefer tiptoe walking due to heightened sensitivity in their feet. Tiptoe walking can lead to muscle imbalances and joint issues in the long run, which may affect a child's balance and coordination, potentially leading to falls and injuries. If you notice that your child is frequently walking on tiptoe, it is suggested that you make an appointment with a podiatrist for a thorough evaluation and appropriate treatment. Early intervention can help your child develop a healthier, more comfortable gait.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. Stephen Petrofsky of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

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Tuesday, 03 October 2023 00:00

Common Foot and Ankle Injuries in Dancers

Dancing is a beautiful art form that demands precision and grace. However, it also places a significant amount of stress on the feet and ankles, making dancers susceptible to a wide range of injuries. Ankle sprains often occur when dancers land after jumps or quick turns. Proper warm-up and ankle-strengthening exercises can reduce the risk. Stress fractures can develop from the repetitive impact of dancing, causing tiny cracks in bones. Adequate rest and proper nutrition are essential for healing. Achilles tendinitis may result from overuse of the Achilles tendon, leading to inflammation and pain. Stretching and calf strengthening exercises can help to prevent this. Plantar fasciitis often occurs due to the strain on the arch of the foot. Wearing shoes with adequate arch support and incorporating stretching exercises can be effective preventive measures. Dancer’s fracture is the name given to the fracture of the 5th metatarsal, which is the bone connecting the pinky toe to the midfoot. This fracture can occur when the ankle is rolled while the dancer is on their toes, causing immediate pain and swelling in the foot. It is suggested that dancers have regular check-ups with a podiatrist to detect and address these and other foot or ankle injuries early. 

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Stephen Petrofsky from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

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