Posts for tag: Dr. Jordanna Baker
“Color me happy,” “Cajun Shrimp,” “Italian Love Affair” all of these are nail polish colors. Fantastic names! Oh, so alluring and adorable. However, what if they were named “Fungus Among Us” or “Love that Bacteria” or “Shades of Virus?” Nail salons are toted in some literature to give an infection to seventy percent of people that visit them. That means that more than most leave with pretty toes and a bacterial, fungal or viral infection. There are several places that an infection can be transferred, so you can minimize your risk and enjoy your pedicure. First, make sure the place itself looks clean. Is the floor clean? Are the stations well-maintained? Make sure the foot bath stations are cleaned after each person and if there is dirt or debris in the bath, insist it be cleaned. Take your own instruments and nail polish as this will prevent you from getting or spreading an infection…it’s important that we all take measures to prevent infection. Keep in mind that it is illegal to use sharps or debride (remove) skin in these places, so speak up if a razor blade, scalpel or scraping instruments are being used to remove callus or rough skin. Unfortunately, the proper way to trim toenails is different than the way to trim fingernails and consequently the nail can become ingrown. This begins the cycle of getting an ingrown and getting another pedicure to treat it. Usually, once the nail has started to become ingrown, eventually it will result in pain and/or pain and infection. This should be treated immediately by your podiatrist and not by the nail salon personnel. If you see changes in your toenail including discoloration, thickening or lifting you should at minimum remove all nail polish and stop getting pedicures for a month or so. Then, perhaps a different place should be sought. Some discoloration may be from chronic nail polish or nail polish that contains formaldehyde. Allow your nails some time to return to normal and then seek your podiatrist’s help in determining if you have an infection of the nail or have had trauma to the nail that will affect its appearance. You can now get nail polish without formaldehyde and with antifungal in it at our clinic. An arrangement of gorgeous, cleverly named colors are available for purchase without an appointment. So stop by on your way to your next pedicure!
Well, summertime is here again. Time for vacation! It’s the time of year when we trade our Uggs and clogs for sandals and flip-flops. Although sandals offer less friction and less constriction of the feet, there can be problems caused by increased activity in these stylish summer kicks. I am referring to the Disney toenail. It never fails; I get several patients a week with the common problem of “a black toenail.” I refer to this as the Disney toenail, because it seems like when I ask where the vacation took place…it’s always from a long day walking at Disney. When you wear sandals for long periods you subconsciously use your toes to hold on a flip-flop or thong type sandal. This grasping motion occurs so many times a day, constantly pushing the toe into the nail and eliciting pressure that eventually a blood vessel breaks under the nail. This bleeds under the nail and causes the nail to turn black. It can be painful if the blood gets trapped under the nail and doesn’t cause lifting. Otherwise, the nail itself usually lifts off the nail bed and the pressure is released. Unfortunately, the nail will likely fall off or need to be removed if it is loose. This is usually not painful and can be done in the office, with the use of local anesthetic if necessary. The nail will grow back, although not by the end of the summer. But, despite having one less nail for the summer, it can be a reminder of a great Disney vacation! So, if you find yourself walking around Disney this summer and you end up with a black or lifting nail, you can consider yourself a mousketeer with an official Disney toenail.
Adult-acquired flat foot is a condition that results in a fallen arch and the foot pointed outward. This condition is most common in women over the age of 40. A variety of foot problems can lead to adult- acquired flat foot deformity, but the most common cause is a gradual stretching out of a tendon near the ankle bone, known as the posterior tibial tendon. This tendon is the main stabilizer of the foot arch. While the cause of the stretching is not fully understood, many doctors believe that wearing high heels and standing or walking for long periods may add to the problem. Other risk factors include obesity, hypertension, and diabetes.
People with flat foot experience different symptoms depending on the cause. Pain and swelling may be felt on the inside of the foot and ankle. This pain points to involvement of the posterior tibial tendon. The pain may increase with activity and high intensity activities such as running can be very difficult. As the condition worsens, the arch can collapse causing the heel bone to move placing pressure on the outside of the ankle. This can cause outside ankle pain and arthritis of the ankle joint.
The posterior tibial tendon is one of the most important tendons of the leg. It starts at a muscle in the calf and travels down the inside of the ankle and attaches to bones on the inside of the foot. The main function of this tendon is to support the arch. If the tendon becomes inflamed or torn, the arch will slowly collapse. Inflammatory arthritis can attach the ligaments, as well as, the cartilage in joints. Arthritis can cause pain and changes to the shape of the foot. Injury to the ligaments can cause joints to fall out of alignment and cause flat foot. The last major cause of adult-acquired flat foot is diabetes. People with diabetes or with nerve loss can have arch collapse.
Adult-acquired flat foot is a very common problem affecting the foot and ankle. The good news is orthotics and braces can help most people. Those who have tried orthotics and braces without any relief, surgery can be an effective way to reduce pain and deformity. Your podiatrist is specially trained in treating flat foot and will create a custom treatment plan.
Trimming toenails may seem like a simple task, but it shouldn’t be done carelessly. Most people do not need to have their nails trimmed by a podiatrist; those with diabetes are an exception. Diabetics should visit a specialist, like those at Coastal Podiatry Associates, to reduce the risk of future foot problems. When trimming toenails, it is important to use proper technique to avoid creating ingrown toenails or an infection. Ingrown toenails are nails that become lodged in the skin, instead of growing normally. They can cause pain and may lead to serious infection. Sometimes, nails just grow naturally into the skin, no matter what you do. 
Here are some simple techniques to properly cut the nails to avoid toenail pain.
Use appropriate toenail clippers. Larger nails need larger clippers. This is why toenail clippers are much larger than fingernails. Keep your clippers clean by wiping them with rubbing alcohol before each use.
Leave nails a little long. Cutting nails too short can also cause ingrown toenails. By doing so, it puts the nail at risk of infection.
Cut nails when they are dry. Wet nails are more likely to tear, bend, or cut poorly because they soften when wet.
Cut straight across. Nails shouldn’t dig down on the sides. Guide the clippers straight across, follow the shape of the nail, and then use the curve on the clippers to cut the nail’s edges.
Nail filing. If you like to file your toenails, do not drag the file back and forth. Gently move the nail file in one direction across the top of each nail. Try using a glass nail file. This offers more protection and is easy to clean.
Everyone’s nails grow at different speeds, so it’s important to keep an eye on the length of your nails. Make sure to trim them before they start rubbing against shoes and causing pain. Clean, well-cared for, and neatly trimmed toenails lead to comfortable, healthy feet.
If you suspect you have an ingrown toenail, please visit one of our locations in Myrtle Beach, Surfside Beach, Conway or Little River or to make an appointment call 843-449-FOOT.
Choosing footwear that properly fits can prevent many common foot problems. Hammertoes, calluses, corns, heel pain, andbunionscan all be caused or aggravated by improper footwear. A survey conducted by the American Podiatric Medical Association (APMA) found that 73% of women admitted experiencing foot pain and discomfort because of their shoes. The key to preventing foot issues is to wear shoes that support your specific foot type. This does not mean every shoe should be a sneaker. Dress shoes and many high-heeled shoes come in a variety of shapes and sizes to accommodate different foot types. It is important to choose footwear with comfort in mind. Pointy-toe styles can cause hammertoes and bunions. A shoe with a round toe area is the best shape since it allows the most room for the toes to move naturally. According to the APMA, heels over three inches put seven times the pressure on the ball of the foot. They can also lead to balance problems and place unnecessary stress on your knees and ankles.
It is important to get your feet measured on a regular basis as feet naturally widen and lengthen with age. Have your feet measured while standing with full weight of your body on your feet. Most people have one larger foot; therefore, it is important to fit your new shoes accordingly. When trying on your next pair of shoes, there should be one-half inch between your longest toe and the front of the shoe. It is also a good idea to try on both shoes and walk around the store. If your feet hurt in the store, don’t buy them, as footwear should not need a break-in period.
Before purchasing your next pair of shoes, spend a moment to look at how it is made. To reduce the chance of excessive sweating and blisters choose breathable materials such as leather. Look inside the shoe for exposed seams, pieces of material, or outcroppings of leather that can rub against you foot and cause blistersor wounds. It is best to shop for footwear in the afternoon or evening when feet are largest due to natural swelling. Full-service shoe stores are more likely to carry half sizes and have knowledgeable staff members who can measure your feet and suggest a specific shoe. Focusing on your foot health as you shoe shop is definitely worth the extra time and effort!