Have you ever had an ingrown toenail? If you answer yes, then you know the pain resulting from this common foot condition. Dr. James Mintzer, your podiatrist at Providence Foot Health Center in Washington, treats ingrown toenails and helps patients from having them in first place. Learn more here.

What is an ingrown toenail?

Also called onychocryptosis, an ingrown toenail occurs when a toenail, typically the one on the big toe, grows into the surrounding skin. Pain, redness, inflammation and even infection results.

How does an ingrown toenail happen? Genetics and tight shoes play a large role in its formation, reports the American Podiatric Medical Association. So can foot trauma.

However, your Washington podiatrist often finds that incorrect pedicure techniques cause this problem. In other words, if you cut your toenails poorly, shaping and rounding the corners, rather than trimming straight across, onychocryptosis is sure to happen.

Treating ingrown toenails

Sometimes home remedies work well for mild cases. Just soak your foot in warm water two to three times a day, and wear open toed shoes to avoid friction and pressure.

However, for more severely ingrown and painful nails, seeing Dr. Mintzer at Providence Foot Health Center is the best course of action. He will examine your foot and prescribe antibiotics if infection has set in.

Additionally, he often performs an in-office procedure called a partial nail avulsion. This procedure cuts away the nail from the nail plate and applies a chemical to keep it from growing back. Dr. Mintzer ensures complete patient comfort during the procedure and advises rest, elevation and over the counter analgesics at home afterwards.

Preventing onychocryptosis

The strategy for keeping nails healthy is simple:

• Wear clean, well-fitting socks every day
• Make sure your shoes fit properly (not too tight or narrow in the toe box)
• Trim your nails straight across using a clean, sharp clippers

Healthy nails and healthy feet

The two definitely go together. For a personalized consultation on your feet and nails, please contact your podiatrist, Dr. James Mintzer at Providence Foot Health Center. The office, located in Washington DC, is open Monday through Friday at 7:30 am. Phone (202) 269-4062.

While there are many people with flat feet, often times they won’t even know it; however, there are others with flat feet that regularly experience pain, soreness, and other problems. While flat feet is rarely considered a serious issue, if you are dealing with problems as a result of your flat feet it’s important that you turn to a podiatrist who can offer up ways to prevent problems.

How to tell if you have flat feet

If the arches of your feet touch the floor when you stand then you have flat feet. The arches of our feet don’t actually develop until around the age of six; however, sometimes flat feet develop due to injury or repeated stress on the feet.

Symptoms of flat feet

The most common symptom of flat feet is foot pain that originates in the heels and arches. You may find that the pain gets worse when standing or moving for long periods of time. Those who are physically active may experience pain more regularly. Sometime swelling on the inside of the foot or ankle may also occur.

Potential complications of flat feet

Since flat feet can be responsible for misalignments, this can lead to ankle and knee problems. If you are noticing foot, ankle, knee, hip, or lower back pain then you will want to schedule an appointment with a podiatrist to find out what’s going on.

Treating flat feet

If you aren’t experiencing pain or other issues then you won’t require any treatment for your flat feet. While we can’t fix flat feet our podiatrist can provide you with simple solutions to reduce pain and discomfort associated with faulty biomechanics within the feet. Common ways to prevent flat foot-related pain include:

• Using arch supports in your shoes, which can take pressure off the arches and provide cushioning and support when standing or moving.
• Performing certain stretching exercises prescribed by a podiatrist. There are specific exercises designed to stretch the Achilles tendon to alleviate and prevent foot pain.
• Wearing the appropriate footwear that provides further arch support. Shoes that are old and worn, as well as certain styles such as sandals or flip-flops won’t provide your feet with the proper support they need.
• Undergoing physical therapy if you are dealing with foot pain due to overuse injuries, which is common among athletes. Physical therapy can help strengthen certain ligaments, tendons and muscles of the feet and ankles to prevent excessive wear and tear, as well as pain and soreness in the arches and heels.

If you are dealing with pain due to flat feet and can’t seem to get your discomfort under control then you will want to talk with a podiatrist who can recommend certain exercises, proper footwear, and custom orthotics to improve the health of your feet. Talk to a podiatrist today.

Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.

Keeping ahead of neuropathy and avoiding amputation

Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.

Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.

Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.

What can you do to treat your diabetic feet?

1. Be proactive. Inspect your feet daily, looking redness or skin breakdown.
2. Wash and dry your feet daily.
3. Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
4. Wear shoes at all times--even indoors--to avoid injury.
5. Wear clean, well-fitting, moisture-wicking socks.
6. Keep your weight and blood sugars within normal range.
7. Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
8. Avoid all forms of tobacco.
9. Report any changes to your foot doctor as soon as possible.
10. See your podiatrist every six months or as he or she directs.

Healthy feet and a healthy you

Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.

Are you dealing with pain, burning, tingling or numbness between your toes or in the ball of the foot? If you said “yes” then you could be dealing with a neuroma, a pinched nerve or benign tumor of the nerve that is often found between the third and fourth toes.

The classic symptom of a neuroma is pain, particularly when walking—a factor that leads many people to liken the condition to feeling like a pebble is in their shoe. You may find that the pain eases up whenever you aren’t walking or when you rub the pained area with your hands. While neuromas can happen to anyone, they are most commonly found in women.

Neuroma Causes

While the causes of a neuroma are still not clear, there are factors that can increase the likelihood of developing one, such as:

• Extremely high arches
• Flat feet
• Trauma that leads to nerve damage in the feet
• Improper footwear (high heels over two-inches tall; pointed toes)
• Repeated stress placed on the foot

Treating a Neuroma

A neuroma will not go away on its own, so it’s important to see a podiatrist if you are experiencing any of the condition's symptoms. The type of treatment or treatments recommended to you will depend on the severity of the neuroma.

Those with minor neuromas may be able to lessen symptoms by wearing shoes that provide ample room for the toes and offer thick soles that provide more support and cushioning for the toes and balls of the feet. Sometimes a podiatrist may recommend custom orthotics to place inside the shoes, as well.

Your podiatrist may also recommend padding or taping the ball of the foot to improve faulty biomechanics and reduce discomfort. While medication will not eliminate the problem, it can temporarily alleviate symptoms. Over-the-counter anti-inflammatories can often briefly reduce pain and swelling, but for those dealing with more severe pain, steroid injections may be necessary to ease symptoms.

Surgery for a Neuroma

Surgery only becomes necessary when conservative treatment options have failed to provide relief, or when the neuroma has progressed enough that conservative care won’t be enough. During surgery, the inflamed nerve is removed through a simple outpatient procedure. Afterward, there is a short recovery period of a couple of weeks before patients are able to move about pain-free once again!

Give us a Call!

If you are dealing with new or worsening foot pain it’s important that you turn to a podiatrist that can help give you the answers you need. Schedule an appointment today.

A bunion is one of the most common foot deformities, often affecting the joint at the base of the big toe. Anyone can develop this painful condition but it most often occurs in women. A bunion affects the structure of the foot, causing the joint to become enlarged, which causes the big toe to lean inward towards the other toes. In some cases, the big toe even overlaps the toes. This deformed joint may often become red or swollen, especially when wearing certain shoes or after certain physical activities.

A bunion is a gradual deformity, which means that as soon as you begin to notice changes in the joint or you start to experience symptoms you should consult a podiatrist. While the only way to correct the deformity is through surgery this is usually the last treatment option. After all, a foot doctor can often create a treatment plan that will reduce pain and prevent the deformity from progressing without needing to turn to surgery.

The first course of treatment is usually more conservative. You may be able to manage your bunion pain and swelling by:

• Taking over-the-counter NSAIDs
• Icing the bunion for up to 15 minutes at a time, 2-3 times a day
• Placing orthotics into your shoes to alleviate pressure on the joint (talk to your podiatrist about creating custom orthotics)
• Splinting or taping the foot to improve the structural alignment
• Wearing appropriate and supportive footwear that doesn’t put pressure on the toes or bunion
• Applying a bunion pad over the area to prevent a callus from forming while wearing shoes
• Avoiding certain activities and sports that could exacerbate your condition

For many people, these lifestyle changes and simple at-home treatment options are all that’s needed to reduce bunion pain and discomfort, and to prevent the problem from getting worse. Of course, if you find that at-home care isn’t providing you with relief, or if bunion pain is persistent or severe, then you should turn to a podiatrist for an evaluation. Not sure if you have a bunion or not? Call your foot doctor.

When should someone consider bunion surgery?

As we mentioned earlier, bunion surgery is considered a last resort when all other treatment options have been exhausted and they haven’t helped get your bunion symptoms under control. You may also want to consider getting bunion surgery if:

• Your bunion is large and makes it difficult to wear shoes
• Your bunion pain is severe and chronic
• You have trouble walking or moving around because of your bunion
• Your bunion is affecting your quality of life

It can take up to 6 months to fully recover from traditional bunion surgery so it’s important to discuss all of your treatment options with your podiatrist to find the most effective method for getting your bunion symptoms under control.