Posts for tag: Myrtle Beach
“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!
Have you ever dropped a heavy box on the top of your foot? Have you ever stepped into a small hole, falling, and twisting your foot? These two common accidents can result in midfoot or Lisfranc fracture-dislocation. Lisfranc injuries (named from the French doctor that first described the injury) occur at the midfoot. This area is a cluster of bones and joints that form an arch on the top of the foot between the ankles and toes. In total, five long bones extend to the base of the toes meet four bones projecting towards the rear of the foot. These bones are held into position by ligaments that stretch across and down the foot. The bone extending to the second toe is extremely important as it acts as a stabilizing force in the area but lacks ligaments to secure it to the first long bone. These two long bones may shift, break, or dislocate in a twisting fall.
Lisfranc fracture-dislocations are often mistaken for sprains. The top of the foot may be swollen and painful with some bruising. If the injury is severe, you may not be able to place any weight on the foot. Lisfranc injuries are often difficult to see on X-ray and can have serious complications if left untreated. It is important to see a podiatrist if rest, ice, and elevation do not reduce the pain and swelling within a day or two. At the doctor’s office, a podiatrist will evaluate the foot through a detailed physical exam and image study. If initial x-rays do not show an injury, a CTor MRI may be needed.
Treatment for a Lisfranc injury depends on the severity of the injury. If the bones have are still in alignment, a cast is typically used in addition to not placing any weight on the foot for six weeks. Unfortunately, surgery is often needed to stabilize the bones and hold them in place after they have become dislocated. Pins, wires, or screws may be used to restore normal position. After surgery, a cast and non weight bearing to the foot for six to eight weeks is typical. In both situations, arch support and a rigid soled shoe are commonly used until all symptoms have disappeared.
It is important to seek appropriate medical advice when rest, ice, and elevation do not resolve pain. It is equally important to follow doctor’s orders and refrain from activities until instructed. The podiatrists at Coastal Podiatry Associates are trained in Lisfranc fractures and will help their patients return to normal activity as quickly as possible.
Feet are just like anything else, as they are used and time passes, change is inevitable. The average person takes approximately 10,000 steps per day, which can add up to more than 3 million steps a year. Each of these steps can place a force on your feet equal to two or three times your body weight. It is easy to see that with time, this extensive repetitive use can lead to several changes related to growing older.
Normal aging is associated with gradual stretching of the ligaments that support your foot’s anatomical shape. It is normal to notice your feet becoming wider and longer. This is generally combined with a mild settling of the foot’s arch more often noticed as a flattening of the foot. Another normal change is thinning of the skin on the bottom of the heel. This is from a reduction of a fat pad as the body loses its ability to retain water. Again, normal aging is the corporate. An increase in the stiffness of joints and a loss of joint range of motion may occur. Think back to the facts of taking 10,000 steps where 2-3 times your body weight is placed on your feet, this workload on your joints will cause a natural amount of arthritis that can lead to stiffness.
Some common foot changes are abnormal or pathological. These conditions tend to occur in association with prolonged use of ill-fitting shoes and extreme stress placed on the foot. They are most commonly noticed when people are in their 30s, 40s, and 50s. These problems do not occur naturally and can be slowed or prevented with the use of proper shoes and inserts. A bunion is the most common problem and is a large bump on the inside of the big toe. Another condition is a hammer digit, which occurs when the toe becomes curled or constantly bent. Bunionette is a term used to describe a large bump found on the outside of the smallest toe in addition to the toe pointing toward the rest of the foot. Calluses or corns can occur on the toes or foot in areas of high pressure points. If you notice these changes, it is important to get your feet checked by a doctor. Podiatrists are specially trained to treat these conditions and reduce the associated discomfort or pain.
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.
Corns and calluses are thick, hard sections of skin found on the foot. These conditions aren’t serious, but they can result in severe pain. Corns and calluses are really an area of increased thickness of the skin formed by too much pressure or friction. They generally form at bony prominences of the foot where friction is greatest. Usually poor fitting shoes cause these areas of friction, but they can also form because of how the foot moves during walking.
Calluses are typically found on the bottom of the foot. Corns are actually calluses that occur on the toes when hammertoes have formed. (Hammertoes are toes that are always bent, forming an upside down V when looked at from the side.) These thick layers of dead skin cells are generally white or yellow patches of thick, tough skin. They may also look flaky, or seem like dry skin. Corns are generally small and round, with a very sore spot in the middle and yellowish skin surrounding. Calluses are commonly larger and may have a peak in the middle.
Anyone can develop a callus or corn from poor fitting shoes or the way their foot moves during walking. The podiatrists at Coastal Podiatry Associates can easily treat these painful areas. The fastest and easiest way to treat calluses and corns is to remove the areas of increased skin. Another method is to reduce the friction or irritation that caused the callus or corn. This can be accomplished by adding padding to the shoe to offload the pressure area or adding an orthotic. Orthotics are custom shoe inserts that help the foot move in its most natural path. Another important preventative step is to wear comfortable shoes to help protect the foot from corns and calluses.