Surgery for Ingrown Toenails
Ingrown toenails are unattractive and potentially uncomfortable foot ailments that primarily affect the big toenail. They occur when the side of the nail essentially grows into the skin of the toe. As a result, the affected area can swell, turn red, and become inflamed. There are many cases of ingrown toenails that, if caught early enough, can be treated and taken care of at home. Other cases can be addressed by a podiatrist with antibiotics or a splint and will not require surgery. However, if a case is severe enough and the ingrown toenail has become infected, then a surgery might be necessary to remedy the situation. There are a number of surgical procedures a doctor may perform. First, a doctor may perform a wedge resection (also known as a partial nail avulsion), in which a portion of the toenail causing the problem is removed. A doctor may also perform a toenail removal (or a complete nail plate avulsion) where the entire affected nail is removed. The intention behind this procedure is that the new nail will grow back correctly in 18 months. Of course, each patient’s potential to benefit from surgery for an ingrown toenail is highly individualized. As a standard rule of thumb, you can always consult with your podiatrist to determine the best treatment plan for your ingrown toenail.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Ankle and Foot Centers of Missouri, P.C.. Our doctors 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 offices located in the Greater Kansas City area . We offer the newest diagnostic and treatment technologies for all your foot and ankle 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.
Some Foot Pain Can Increase at Night
There are several foot maladies that tend to be more painful in the evening. For instance, foot pain from fibromyalgia can increase at night because of a decrease in the anti-inflammatory hormone cortisol. Pain from pinched nerves in the feet and ankles can also worsen in the evening because the pressure placed on these nerves increases at night. Examples of these conditions are tarsal tunnel syndrome in the ankle, and pain in the foot caused by a compressed sciatic nerve in the lower back or leg. Bunions, which are bony protrusions on the joint of the big toe, can become very sore and throb with pain at night as well. Peripheral neuropathy symptoms can worsen at night too due to changes in body temperature and other factors. People experiencing heightened levels of foot pain during the evening may try hydrating, exercising, stretching, massaging, and consulting with a podiatrist for professional treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Ankle and Foot Centers of Missouri, P.C.. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our offices located in the Greater Kansas City area . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.
Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.
Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.
If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.
When Pain Occurs in the Ankle and Inside the Foot
Posterior Tibial Tendon Dysfunction (PTTD) is a progressive condition that can cause pain in the ankle and foot, along with a flattening of the foot. If left untreated, PTTD may even cause arthritis. PTTD begins with some sort of degenerative change to the posterior tibial tendon which is an important structure in the foot. The tendon attaches the posterior tibialis muscle at the back of the leg with bones in the foot. It helps support the arch and aid the foot while walking. PTTD is often caused by overuse of the posterior tibial tendon. Swelling and pain in the foot and ankle (on the inside of the foot) may occur after hiking, walking, running, or climbing stairs. As the condition progresses, the arch will begin to flatten and the ankle may roll inward as the feet and toes turn outward. As the tendon continues to deteriorate, the foot will flatten even more, and the location of pain will shift to the outside of the foot, underneath the ankle. Arthritis may even develop in the ankle and foot in advanced PTTD. PTTD needs to be diagnosed early on when more conservative treatment methods have a better chance of halting the condition’s progression without the need for surgery. If you are experiencing any symptoms discussed here, consult with a podiatrist as soon as possible.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists from Ankle and Foot Centers of Missouri, P.C.. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendinitis
- Achilles tendon rupture
- Stress fractures
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact our offices located in the Greater Kansas City area . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ankle Pain
The ankle joint is the point at which the bones of the leg and foot join. This joint is crucial because it is responsible for the foot’s mobility. Ankle pain is typically the result of inflammation from an injury to bones, joint space, cartilage, ligaments, tendons, or muscles in the area. Commonly associated symptoms with ankle pain are bruising, redness, numbness, stiffness, weakness, and tingling.
The most common causes of ankle pain are sprains and injuries. Ankle sprains are one of the most common musculoskeletal injuries. Sprains occur when the ligaments of the ankle become partially or completely torn due to sudden stretching. Sprains can occur on either the inner or outer sides of the ankle joint. Usually, these injuries occur when the ankle is twisted in an activity by stepping off an uneven surface. More specific causes include rheumatoid arthritis, gout, osteoarthritis, and Achilles tendonitis.
If you are experiencing ankle pain, you should consult with your podiatrist to choose the best method of care. Your doctor will conduct an examination of your ankle to determine the underlying cause of the pain.
Causes of Peripheral Neuropathy
When the nerves in the extremities – commonly the feet – are damaged, it results in a condition known as peripheral neuropathy. Symptoms include numbness, tingling and burning pain. It can also affect your balance, coordination, and muscle strength. The numbness makes it difficult to notice sores and cuts on your feet that can develop into ulcers, or even gangrene. In rare cases, neuropathy has no recognizable cause, known as idiopathic neuropathy. But the most common cause of peripheral neuropathy is thought to be diabetes. High levels of blood sugar can damage the blood vessels that supply the nerves. The likelihood of developing this condition further increases with age, alcohol use, and smoking. Other factors that may contribute to peripheral neuropathy include low levels of vitamin B12, trauma to the nerves after surgery, an underactive thyroid gland, and genetics. In addition, certain infections, such as shingles, Lyme’s disease, and HIV may be causes as well. If you have peripheral neuropathy, please make an appointment with a podiatrist for regular examinations of your feet and treatment options.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Ankle and Foot Centers of Missouri, P.C.. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our offices located in the Greater Kansas City area . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Neuropathy
Neuropathy is the weakness, numbness, and pain in the hands and feet due to damage to the peripheral nerves. The peripheral nerves are responsible for sending information from the brain and spinal cord to the rest of your body. Causes of Neuropathy include: traumatic injuries, infections, metabolic problems, exposure to toxins, and diabetes.
Diabetes is the most common cause, with more than half of the diabetic population developing some type of neuropathy. There are several types of neuropathy and they vary based on the damage of the nerves. Mononeuropathy is classified as only one nerve being damaged. When multiple nerves are affected, it is referred as polyneuropathy. One of the types of polyneuropathy is distal symmetric polyneuropathy. It is the most common for people with diabetes and starts when the nerves furthest away from the central nervous begin to malfunction. The symptoms begin with pain and numbness in the feet and then they travel up to the legs. A rarer form of polyneuropathy is acute symmetrical peripheral neuropathy, which is a severe type that affects nerves throughout the body and is highly associated with Guillain-Barre syndrome, an autoimmune disorder that attacks the peripheral nervous system and can be fatal. Although there are many types of neuropathy, most of them share the same symptoms such as pain, extreme sensitivity to touch, lack of coordination, muscle weakness, dizziness, and digestive problems. Since neuropathy affects the nerves, those affected should be careful of burns, infection and falling, as depleted sensations disguise such ailments.
The best way to prevent neuropathy is to manage any medical conditions such as diabetes, alcoholism, or rheumatoid arthritis. Creating and managing a healthy lifestyle can also go a long way. Having a healthy diet full of fruits, vegetables, whole grains and lean protein can keep the nerves healthy. These types of food have the nutrients to prevent neuropathy. Regularly exercising can help as well, but it is best to consult with a doctor about the right amount. In addition to diet and exercise, avoiding risk factors will also prevent neuropathy. This includes repetitive motions, cramped positions, exposure to toxic chemicals, smoking and overindulging on alcohol.
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Caring for Elderly Feet
As people age and the skin loses its thickness and elasticity, it can become harder to take care of their feet. Because it gets harder to bend and inspect elderly feet, caregivers often assume the role of elderly foot care. This can be a daunting task if the one cared for is embarrassed that they cannot do this for themselves and resist help. The key things to look for regarding an older person’s feet are signs of infection, such as discolored nails, blisters, cracked skin, or bleeding sores and wounds. Clean and dry the feet thoroughly each day. Toenails should be kept at a short length to avoid breaking, snagging on clothing, or scratching the skin. Look for ingrown toenails or hangnails, moisturize the feet, and make sure the elderly person wears shoes that fit properly. Footwear should also provide adequate cushioning and support for the feet, and fasten securely. Socks should not be too tight. If circulation is an issue for an older person a warm foot bath might be employed to help with blood flow and relieve tired, achy feet. If infections or problems with an older person’s feet are noted, a quick response and contacting a podiatrist can prevent a foot health crisis. A podiatrist can properly diagnose, treat, and provide prevention tips on caring for elderly feet.
If you need your feet checked, contact one of our podiatrists of Ankle and Foot Centers of Missouri, P.C.. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.
Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.
It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.
Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities.
Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.
Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.
If you have any questions, please feel free to contact our offices located in the Greater Kansas City area . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
