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Minimally Invasive Foot Surgery – foot Doctor of Podiatric Medicine, Foot Specialist, Toronto, ON

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Sheldon Nadal Doctor of Podiatric Medicine

 discusses Minimal Incision Outpatient Foot Surgery.

http://www.footcare.net

Surgery on the foot, ankle, or lower leg is usually performed by podiatric surgeons and orthopedic surgeons specializing in the foot and ankle.

Foot and ankle surgeries address a wide variety of foot problems, including:

• Sprains and fractures.
• Arthritis and joint disease.
• Benign and malignant tumors.
• Birth deformities.
• Bunions.
• Calluses and warts.
• Corns and hammertoes.
• Flatfeet.
• Heel or toe spurs.
• Neuromas (nerve tumors).

Many foot and ankle surgeries today can be performed in the doctor’s office or a surgical center on an outpatient basis. They frequently can be performed using local anesthesia, in some cases combined with sedation. Most foot surgeries require a period of immobilization after the procedures with protective devices, such as a bandages, splints, surgical shoes, casts, or open sandals. Limited weight bearing, elevating and icing the foot, and keeping the area dry are commonly required for the first two weeks following surgery until sutures are removed. Most surgeons will encourage post-operative exercise of the foot and legs to speed recovery. In addition, many patients need additional therapy or treatments after surgery in order to aid in the healing and recovery process. These may include physiotherapy, orthotic devices, and special footwear. After sufficient healing time, which varies from procedure to procedure, most patients can resume wearing their usual footwear.

Visit our website: http://www.footcare.net

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Bunions – Podiatrist in Clarksville, Springfield, TN and Hopkinsville, KY

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Dr. Michael Schussler of Schussler FootCare Center discusses the symptoms, causes and treatments for Bunions.

http://www.footcarecenter.com

 A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Treatment for Bunions

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain caused by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

• Protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
• Removal of corns and calluses on the foot.
• Changing to carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.
• Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
• Exercises to maintain joint mobility and prevent stiffness or arthritis.
• Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Surgical Treatment

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.

Visit our website:  http://www.footcarecenter.com

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Bunions Treatment – Podiatrist in Southport and Shallotte, NC

Dr. Bryan Satterwhite of Atlantic Foot Specialists discusses the symptoms, causes and treatments for Bunions.

 http://www.atlanticfootspecialists.com

A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Treatment for Bunions

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain caused by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

• Protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
• Removal of corns and calluses on the foot.
• Changing to carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.
• Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
• Exercises to maintain joint mobility and prevent stiffness or arthritis.
• Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Surgical Treatment

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.

Visit our website: http://www.atlanticfootspecialists.com

Dr. Bryan Satterwhite of Atlantic Foot Specialists discusses the symptoms, causes and treatments for Bunions.

 http://www.atlanticfootspecialists.com

A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Treatment for Bunions

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain caused by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

• Protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
• Removal of corns and calluses on the foot.
• Changing to carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.
• Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
• Exercises to maintain joint mobility and prevent stiffness or arthritis.
• Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Surgical Treatment

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.

Visit our website: http://www.atlanticfootspecialists.com

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Laser Treatment for Fungal Toenails - Podiatrist in San Jose, CA

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Dr. Chris Horine of Neat Feet Podiatry Laser Center Nail and Foot Spa discusses laser treatment for toenail fungus.

http://www.neatfeetnow.com

Toenail fungus can be embarrassing, annoying and even painful. At Neat Feet, we have helped thousands of people throughout the Bay Area get rid of nail fungus. Using a state-of-the-art laser with one 30 minute treatment, we can eliminate the pathogens that cause toenail fungus infection (Onychomycosis). The treatment is safe and painless without heat damage to the delicate nail bed tissue. All patients are seen by a Podiatrist, a foot specialist in foot and nail care. Our staff is fully trained in Foot and Nail Care under the supervision of Dr. Horine, a licensed podiatrist and expert in the field.

Nail and Toenail Fungus (Onychomycosis)
This new patented laser technology kills the pathogens that cause toenail fungus (onychomycosis).

• The gentle laser light works through the nail
• No side effects
• Does not harm the nail or skin
• No anesthesia needed
• Usually only one treatment required
• No downtime
• 81% Effective
• All patients see a Board Certified Podiatrist. The Foot Specialist.
• Shoes and nail polish can be worn immediately after treatment.

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Visit our website http://www.neatfeetnow.com

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Podiatrist in San Jose, CA – Chris Horine, DPM

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Meet Podiatrist Dr. Chris Horine as he discusses foot care at Neat Feet Podiatry Laser Center Nail and Foot Spa.

http://www.neatfeetnow.com

Toenail fungus can be embarrassing, annoying and even painful. At Neat Feet, we have helped thousands of people throughout the Bay Area get rid of nail fungus. Using a state-of-the-art laser with one 30 minute treatment, we can eliminate the pathogens that cause toenail fungus infection (Onychomycosis). The treatment is safe and painless without heat damage to the delicate nail bed tissue. All patients are seen by a Podiatrist, a foot specialist in foot and nail care. Our staff is fully trained in Foot and Nail Care under the supervision of Dr. Horine, a licensed podiatrist and expert in the field.

Visit our website: http://www.neatfeetnow.com

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Bunion Surgery (Bunionectomy) – Toronto Podiatrist

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Sheldon Nadal Doctor of Podiatric Medicine discusses Bunion Surgery (Bunionectomy).

http://www.footcare.net

Bunions are progressive bone deformities of the foot that often cause recurring or chronic inflammation, irritation, and pain that require surgical correction. Surgical removal of a bunion is called a bunionectomy. However, there are multiple types of bunionectomies, each designed to resolve different structural changes caused by the deformity.

Bunion surgeries fall into two major categories:

• Head procedures that treat the big toe joint. In a head procedure bunionectomy, the bone is cut just behind the joint, moved into its proper position, and fixed in place with a screw or pin. Head procedures are often used for patients who cannot be immobilized for long periods of time.
• Base procedures concentrate on the bone near or behind the big toe joint. Different types of base procedures are conducted depending on the nature of the deformity. These range from cutting a wedge out of the bone and splitting it so that it can be moved into its proper position; making a semi-circular cut and rotating the bone into its correct position; or fusing the joint. Ligaments inside and outside the toe may also be treated during a base procedure.

There are three important factors that impact the success of bunion surgery:

1. Choose a surgeon with extensive experience with bunionectomies. Because a deep understanding of the biomechanics of each patient’s foot as well as the intricacies of each surgical option is needed, surgeons with more experience at doing bunionectomies are better able to help each patient achieve the best outcome.
2. Be realistic in your expectation about what a bunionectomy can accomplish. No physician can guarantee that a bunion won’t recur or that a patient will be absolutely pain free. Additionally, because of the complexity of the foot structures impacted by a bunion, patients may never be able to wear normal or slender shoes. Bunion surgery can reduce or eliminate the bone deformity, improve foot alignment and function, and prevent damage to other toes, but it does have its limitations. Be sure you understand all the possibilities before opting for this surgery.
3. Bunion surgery is not a magic bullet.  Surgery alone may not be all that is needed to achieve your best outcome. After surgery, many patients experience long healing and recovery times and often have to spend time in physical therapy. Additionally, you may need a corrective orthotic device on an ongoing basis.

What To Expect

Most bunions surgeries today are performed on an outpatient basis at a surgical center or hospital. Set aside the entire day for the surgery, although you may only be at the facility for a half day.

Prior to the surgery, patients will need to make some preparatory arrangements. These include:

• Seeing your Primary Care Physician (PCP) to make sure any other health conditions are stabilized prior to surgery and to document your complete medical history, which can then be given to the foot surgeon.
• Arranging your schedule to make sure you don’t need to take any long trips for at least two to three weeks following the surgery.
• Lining up another person to drive you home and stay with you for the first 24 hours after the surgery.
• Stopping the use of any anti-inflammatory medications, such as aspirin, ibuprofen, or acetaminophen, for five to seven days before the surgery.

The night before the surgery, you will not be able to eat or drink anything after midnight. You should also wash your foot the night before and morning of the procedure to help reduce surrounding bacteria and prevent infection.

Bunion surgery is usually performed with a local anesthetic and is administered by an anesthesiologist. This may be combined with sedation medication to put you into “twilight” so that you are fully relaxed. After the surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive the patient home.

The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients, particularly those having base procedures, may have to use crutches; others may be sent home wearing a surgical shoe. The foot will be covered in a dressing, which you will need to keep dry for up to two weeks or until the sutures are removed.

During the first week after surgery, you will need to keep the foot elevated as much as possible. Ice packs also should be applied for the first three to four days to reduce swelling. Limited ambulation or walking is required over the first two weeks to promote healing. Most patients also are instructed on some basic exercises that need to be performed daily.

Sutures are generally removed about two weeks after the surgery in the doctor’s office. Once the sutures are removed, you can bathe and shower normally, but will still need to wear a dressing over the wound to keep it clean and prevent infection.

By the third or fourth week post surgery, swelling generally subsides enough for the patient to begin wearing a wide athletic shoe. It is important to continue daily exercises. If recommended, physical therapy may be initiated at this time. Once the wound has completely closed, you can use lotions to soften the skin in the surgical area.

By week five after the surgery, you will be able to walk short distances and do mild fitness activities. Continue following your surgeons instructions for increasing exercise and activities until you are back to normal.

Visit our website: http://www.footcare.net

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Minimally Invasive Foot Surgery – Toronto Podiatrist

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Sheldon Nadal  Doctor of Podiatric Medicine discusses Minimal Incision Outpatient Foot Surgery.

http://www.footcare.net

Surgery on the foot, ankle, or lower leg is usually performed by podiatric surgeons and orthopedic surgeons specializing in the foot and ankle.

Foot and ankle surgeries address a wide variety of foot problems, including:

• Sprains and fractures.
• Arthritis and joint disease.
• Benign and malignant tumors.
• Birth deformities.
• Bunions.
• Calluses and warts.
• Corns and hammertoes.
• Flatfeet.
• Heel or toe spurs.
• Neuromas (nerve tumors).

Many foot and ankle surgeries today can be performed in the doctor’s office or a surgical center on an outpatient basis. They frequently can be performed using local anesthesia, in some cases combined with sedation. Most foot surgeries require a period of immobilization after the procedures with protective devices, such as a bandages, splints, surgical shoes, casts, or open sandals. Limited weight bearing, elevating and icing the foot, and keeping the area dry are commonly required for the first two weeks following surgery until sutures are removed. Most surgeons will encourage post-operative exercise of the foot and legs to speed recovery. In addition, many patients need additional therapy or treatments after surgery in order to aid in the healing and recovery process. These may include physiotherapy, orthotic devices, and special footwear. After sufficient healing time, which varies from procedure to procedure, most patients can resume wearing their usual footwear.

Visit our website: http://www.footcare.net

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Women’s Foot Problems – Toronto Podiatrist

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Sheldon Nadal  Doctor of Podiatric Medicine discusses the Women’s Foot Health and Foot Problems

http://www.footcare.net

The best shoe for women’s feet is a walking shoe with laces (not a slip-on), a composition sole, and a relatively wider heel with a rigid and padded heel counter, no more than three-quarters of an inch in height.

Some women inflict punishment on their feet from improper footwear that can bring about unnecessary foot problems. Some of the problems result from high-heeled shoes (generally defined as pumps with heels of more than two inches).

A study conducted by the American Orthopaedic Foot and Ankle Society found that:

• Nine out of 10 women wear shoes that are too small for their feet.
• Eight out of 10 women say their shoes are painful.
• More than 7 out of 10 women have developed a bunion, hammertoe, or other painful foot deformity.
• Women are nine times more likely to develop a foot problem because of improper fitting shoes than a man.
• Nine out of 10 women’s foot deformities can be attributed to tight shoes.

High-heeled, pointed-toe shoes can cause numerous orthopedic problems, leading to discomfort or injury to the toes, ankles, knees, calves, and back. Many high-heeled-shoes also have a pointed, narrow toe box that crowds the toes and forces them into an unnatural triangular shape. These shoes distribute the body’s weight unevenly, placing excess stress on the ball of the foot and on the forefoot. This uneven distribution of weight, coupled with the narrow toe box characteristic of most high heels, can lead to discomfort, bunions, hammertoes, and other deformities.

The height of the heel makes a dramatic difference in the pressure that occurs on the bottom of the foot. As heel height increases, the pressure under the ball of the foot may double, placing greater pressure on the forefoot as it is forced into the pointed toe box.

To relieve the abusive effects of high heels, women should limit the amount of time they wear them and alternate these shoes with good quality sneakers or flats for part of the day. Look for comfortable and attractive walking pumps for work and social activities, that blend fashion appeal with athletic shoe-derived construction, reinforced heels, and wider toe room for greater comfort. Low-heeled shoes (one inch or lower) with a wide toe box are the ideal choice for women. An ample toe box that can accommodate the front part of the foot is as important as the heel in determining fit.

Visit our website: http://www.footcare.net

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Women’s Foot Health - NYC Podiatrist Manhattan and White Plains, NY

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Dr. Tara Blitz discusses the symptoms, causes and treatments for Women’s foot problems. http://www.adlerfootcare.com

The best shoe for women’s feet is a walking shoe with laces (not a slip-on), a composition sole, and a relatively wider heel with a rigid and padded heel counter, no more than three-quarters of an inch in height.

Some women inflict punishment on their feet from improper footwear that can bring about unnecessary foot problems. Some of the problems result from high-heeled shoes (generally defined as pumps with heels of more than two inches).

A study conducted by the American Orthopedic Foot and Ankle Society found that:

• Nine out of 10 women wear shoes that are too small for their feet.
• Eight out of 10 women say their shoes are painful.
• More than 7 out of 10 women have developed a bunion, hammertoe, or other painful foot deformity.
• Women are nine times more likely to develop a foot problem because of improper fitting shoes than a man.
• Nine out of 10 women’s foot deformities can be attributed to tight shoes.

High-heeled, pointed-toe shoes can cause numerous orthopedic problems, leading to discomfort or injury to the toes, ankles, knees, calves, and back. Many high-heeled-shoes also have a pointed, narrow toe box that crowds the toes and forces them into an unnatural triangular shape. These shoes distribute the body’s weight unevenly, placing excess stress on the ball of the foot and on the forefoot. This uneven distribution of weight, coupled with the narrow toe box characteristic of most high heels, can lead to discomfort, bunions, hammertoes, and other deformities.

The height of the heel makes a dramatic difference in the pressure that occurs on the bottom of the foot. As heel height increases, the pressure under the ball of the foot may double, placing greater pressure on the forefoot as it is forced into the pointed toe box.

To relieve the abusive effects of high heels, women should limit the amount of time they wear them and alternate these shoes with good quality sneakers or flats for part of the day. Look for comfortable and attractive walking pumps for work and social activities, that blend fashion appeal with athletic shoe-derived construction, reinforced heels, and wider toe room for greater comfort. Low-heeled shoes (one inch or lower) with a wide toe box are the ideal choice for women. An ample toe box that can accommodate the front part of the foot is as important as the heel in determining fit.

High Heels

What should you look for to make sure your feet are healthy? Here are some general guidelines:

• Balance. A good test for balance involves standing on one foot, with your arms out to the side and your eyes closed. If you are less than 30 years old, you should be able to balance for 15 seconds, 30 to 40 years old for 12 seconds, 40 to 50 years old for 10 seconds and over 50 years old for seven seconds. This can be improved with exercises.
• Circulation. Look at the color of your toes. Do they look like a normal nail color or are they leaning towards red, white, purple, or blue? Press down on the nail of your big toe until the color blanches. Now let go and allow the blood flow to return to your toe. The return of normal color should take 2 to 5 seconds in a person with average circulation.
• Flexibility. How flexible are your toes? Try to pick up a marble or a small dish towel with your toes. To test your ankle flexibility, hang your heel off of a stair. Now let the heel go below the level of the stair. If this causes pain, stop the test. If your heel goes below the level of the stair without causing strain in your calf, that is a good sign. If there is some strain, this can be improved with flexibility exercises.
• Pain. A healthy foot does not produce any pain.
• Sensation. Take a pencil eraser and lightly run it on the top, bottom, and both sides of your feet. The sensation should feel equal in all quadrants. It may tickle on the bottom of the feet. That is normal.
• Skin. Check your skin for calluses, blisters, or areas of irritation. Stand next to your shoes. Are they shaped like your feet or are they causing areas of constriction that may result in irritation? Put your hand inside your shoe. Are there seams, tacks, or rough places in the shoe that correspond to calluses or blisters on your feet?

Pregnancy

Pregnant women need to observe good foot health to prevent pain and discomfort. Since the body undergoes changes and acquires a new weight-bearing stance, women should wear shoes with broad-based heels that provide support and absorb shock. Additional body weight also calls for more support, to prevent foot “breakdown.”

The expectant mother often experiences more than ordinary swelling of her feet and ankles, which can aggravate existing foot conditions and promote inflammation or irritation. Pregnancy also triggers the release of hormones that enhance loose ligaments, which can contribute to foot strain. To help overcome these problems, allow time each day to stay off your feet. Elevate the feet and legs when you are sitting to help prevent and reduce swelling. Don’t sit for long periods of time. If problems do develop, please contact our office.

Stockings

Women who always wear nylon pantyhose expose themselves to a host of foot problems. Nylon doesn’t breathe and the heat that it generates and traps can lead to excessive perspiration. A warm, damp area is an ideal place for fungal infections such as Athlete’s Foot.

Inexpensive nylon pantyhose can also cause forefoot problems, because they don’t allow the normal expansion of the foot when walking, and may pull the toes backward when the pantyhose ride up. The cramping and pressure of the hose can contribute to ingrown toenails and hammertoes. If you must wear pantyhose, be sure they fit properly around the foot. Limit the length of time you wear them whenever possible and, like socks, wash them after every use.

Women Over 65

Older women have more trouble with their feet than younger ones, often because fat pads on the bottom of the feet tend to deteriorate in the aging process. Many foot problems for older women can be alleviated simply by wearing properly fitted, well-constructed shoes that provide cushioning and have a soft, flexible upper that will conform to the shape of their feet. Shoes made of leather that “breathes” can also reduce the possibility of skin irritation.

Soles should be lightweight, with enough flexibility and shock-absorbing quality to provide solid footing and not be slippery. Low-heeled shoes provide greater stability, more protection for the feet, and greater comfort. Because older women often have circulatory problems, they have a special need to keep their feet warm in cold weather, to prevent frostbite or chilblains. Most importantly, keep walking and moving around every day so that all the systems in the legs and feet remain stretched and circulation stays healthy.

Visit our website: http://www.adlerfootcare.com

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Bunion and Hammertoe Treatment - San Francisco Podiatrist Union Square CA

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Dr. Bill Metaxas discusses the symptoms, causes and treatments of Bunions and Hammertoes.  

http://www.footankleinstitutesf.com

What are the Treatment Options for Bunions?

When bunions are causing mild to moderate pain, the simplest solution to try is a wider, more accommodating shoe. This includes lower heels, softer leather, wider toe boxes and gym shoes. Cushions may provide relief from shoe pressure over the prominence. Anti-inflammatory medication may also provide relief.

When the bunion is painful despite the conservative therapy options or you cannot find shoes that are comfortable, surgical correction should be discussed with your podiatric physician. The longer surgery is delayed in a symptomatic foot, the greater the amount of arthritis that develops, and the more complicated the surgery becomes. Patients who have their symptomatic bunion corrected earlier tend to have greater satisfaction after the procedure.

 What are the Treatment Options for Hammertoes?

When hammer toes and claw toes are causing mild to moderate pain, the simplest solution to try is a wider, more accommodating shoe to allow room for the toes to move. This includes lower heels, softer leather, wider toe boxes, and gym shoes. Use of a pumice stone to thin any corns and callouses is sometimes helpful. Cushions and various soft pads may provide relief from shoe pressure over the toes. Never use a “medicated” corn pad since these contain a strong acid which does not know the difference between the bad and good skin and can lead to a chemical burn or deep open sore which can become infected.

When the hammer toes and claw toes are painful despite the conservative therapy options, or you cannot find shoes that are comfortable, surgical correction should be discussed with your podiatric physician. The longer surgery is delayed in a symptomatic foot, the greater the amount of deformity that develops, and the more complicated the surgery becomes. Patients who have their symptomatic hammer toes and claw toes corrected earlier tend to have greater satisfaction after the procedure. When these treatment options are no longer providing the comfort you need, consultation with your podiatric physician is advised to discuss surgical options.

 Visit our website: http://www.footankleinstitutesf.com

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Treatment for Bunions and Hammertoes - San Francisco Podiatrist Union Square CA

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Dr. Bill Metaxas discusses the symptoms, causes and treatments of Bunions and Hammertoes.  

http://www.footankleinstitutesf.com

What Causes a Bunion?

A bunion is a prominence on the side of the foot by the big toe joint. The big toe may also be leaning over towards the smaller toes.You are usually born with the foot type that predisposes you to bunions. People with flat feet or really flexible feet are more prone to develop problems with bunions. Other causes are injury, rheumatoid arthritis and neurovascular disease. Over time, the mechanics of your foot and shoe gear increases the deformity of the bunion. Woman are more frequently affected, probably because of the types of shoes they wear.

What Causes Hammer Toes and Claw Toes?

The most common toe deformities are hammer toes, claw toes, and bone spurs. These involve the lesser toes (2nd through 5th toes). In a hammer toe, the toe is bent at the middle knuckle of the toe, while in a claw toe the toe is bent at both the middle knuckle and tip of the toe. A bone spur can occur anywhere on the toes but most commonly affects the 4th and 5th toes. Each of the deformities can create corns on the toes and in more severe cases redness, swelling, and even an open sore can develop. It is important to note that the corns are not a skin problem! They develop because the skin is being crushed and irritated between the bones in your toes and your shoe.

You are usually born with the foot type that predisposes you to hammer and claw toes. People with flat feet, high-arched feet, or really flexible feet are more prone to develop these problems. Other causes are excessively long toes, tendon imbalance, injury, rheumatoid arthritis, and neuromuscular disease. Over time, the mechanics of your foot and shoe gear increases the deformities. Women are more frequently affected, probably because of the type of shoe they wear and the use of tight stockings.

Visit our website: http://www.footankleinstitutesf.com

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Bunion Surgery - San Francisco Podiatrist Union Square CA

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Dr. Bill Metaxas discusses the symptoms, causes and treatments of Bunions.

http://www.footankleinstitutesf.com  

BUNIONS

What Causes a Bunion?

A bunion is a prominence on the side of the foot by the big toe joint. The big toe may also be leaning over towards the smaller toes.You are usually born with the foot type that predisposes you to bunions. People with flat feet or really flexible feet are more prone to develop problems with bunions. Other causes are injury, rheumatoid arthritis and neurovascular disease. Over time, the mechanics of your foot and shoe gear increases the deformity of the bunion. Woman are more frequently affected, probably because of the types of shoes they wear.

What are the Symptoms?

The severity of the deformity may not correlate to the degree of pain. For example, a bunion that looks severe may have no pain; while a mild looking bunion may be incapacitating. Pain usually develops over the large prominence due to the friction of the shoe in that area. This rubbing of the shoe may cause a red, inflamed sac of tissue called bursitis. As time goes on pain may develop deep in this joint, limiting walking, exercise or even just standing comfortably. High heeled or pointed shoes will exacerbate these symptoms.

When the joint has been in a mal-aligned position for many years, osteoarthritis will develop. Arthritis causes increased stiffness and pain within the joint.

Bunions may also effect the adjacent smaller toes. When the big toes start to angle over, the big toe may cause increased pressure on the second toe or the second toe may be pushed upwards out of the way. This causes hammertoes and/or callouses on the lesser toes.

What are the Treatment Options?

When bunions are causing mild to moderate pain, the simplest solution to try is a wider, more accommodating shoe. This includes lower heels, softer leather, wider toe boxes and gym shoes. Cushions may provide relief from shoe pressure over the prominence. Anti-inflammatory medication may also provide relief.

When the bunion is painful despite the conservative therapy options or you cannot find shoes that are comfortable, surgical correction should be discussed with your podiatric physician. The longer surgery is delayed in a symptomatic foot, the greater the amount of arthritis that develops, and the more complicated the surgery becomes. Patients who have their symptomatic bunion corrected earlier tend to have greater satisfaction after the procedure.

What Does Surgery Involve?

The goal of surgical correction is to restore normal alignment and function of the great toe joint. The large bony prominence is removed and a cut is made in the bone to move it back into a normal position. Screws and/or pins may be used to hold the bone in proper position. If the joint is destroyed from arthritis beyond repair, it may need to be replaced with an artificial joint.

Following surgery, the foot is bandaged and a post operative shoe is worn for one week. Athletic shoes may be worn after the first week. Exercise and prolonged standing are restricted for the first 6-8 weeks. A home exercise program is important for regaining the strength and flexibility. You may steadily resume activities and wear more fashionable shoe gear as healing occurs.

Visit our website: http://www.footankleinstitutesf.com

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NYC Plantar Fibroma Surgery – Manhattan Podiatrist

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Manhattan podiatrist Dr. Ernest Isaacson performs plantar fibroma surgery.

http://www.doctorisaacson.net

Plantar fibromas are benign tissue tumors or growths on the plantar, or bottom surface of the foot. Unlike plantar warts, which grow on the skin, these grow deep inside on a thick fibrous band of ligaments, called the plantar fascia. The presence of the tumor can cause pain or pressure on other parts of the foot structure that can lead to other foot problems.

Nonsurgical measures used in treating plantar fibromas often fail to provide adequate relief of symptoms. At the same time, surgical correction can lead to further complications, such as plantar nerve entrapment or larger and recurrent fibromas that may be worse than the original problem.

A relatively new procedure applies cryosurgery to freeze and shrink the tumors and is gaining in popularity. This short, outpatient treatment causes minimal to no postoperative pain or disability. Patients return to wearing regular shoes within 24 to 48 hours after cryosurgery.

Visit our website: http://www.doctorisaacson.net

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Bunion – Podiatry in Cherry Hill, Voorhees and West Deptford, NJ

Dr. Amy Herskowitz discusses the symptoms, causes and treatments for bunions.

http://www.sjfootdoctors.com

A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Visit our website: http://www.sjfootdoctors.com

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Patient Discusses Foot Injury – Columbus Ohio – Podiatry

Visit our website: http://www.columbusfoot.com

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Campbell, San Jose, Saratoga and Silicon Valley, CA – Douglas Robinson, DPM, FACFAS – Podiatry

Our Practice Philosophy

Committed to offering the highest level of expertise and professionalism, Dr. Robinson and his medical team are ready to provide you, your family, and referrals with state-of-the-art foot and ankle care. From child to adult, from simple to complex, we handle all medical and surgical services with the same care, emphasizing preventive medicine and patient comfort. We pledge to provide the best foot care.

As a licensed podiatrist in Campbell , CA we believe our patients deserve to have the information needed to make good choices about their foot and ankle care. Our goal is to educate each patient and begin a relevant treatment program with the highest quality of care available. Whatever your foot and ankle trouble, we’ll work together to find the answers that will comfort you and bring you relief.

Podiatrist in Campbell, CA – Douglas Robinson, DPM, FACFAS

We take pride in providing you with a comfortable office experience. Our qualified staff is friendly and will ensure a pleasant visit. Our office is conveniently located in Campbell, CA . We invite you to call our office at (408) 370-3338 during regular business hours with any questions.

Visit our website: http://www.drrobinson.net

Bunion Surgery – Campbell, San Jose, Saratoga and Silicon Valley Podiatry

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World class racquetball player discusses his successful return to the sport after bunion surgery performed by Dr. Douglas Robinson.

http://www.drrobinson.net

A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.

Visit our website: http://www.drrobinson.net

 Dr. Zeineldin Ahmad discusses laser treatment for fungal toenails.

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Visit our website at: http://www.footdoctoreastbay.com

We are one of the first providers in the San Franciso/ Oakland/ San Jose areas of a brand new laser nail fungus treatment which offers hope for those who have been suffering from this problem and drug-free. Using a revolutionary laser treatment, in just 30 – 40 minutes, we can treat the pathogens that cause toenail fungus (Onychomycosis). Safe and with little to no discomfort, in clinical studies it has shown to be very effective. This leaves patients significant improvements in the health and appearance of their nails.

Onychomycosis is noticeable by a thickened, yellow, or cloudy appearance of the nail plate. The nail can become rough and crumbly, or can separate from the nail bed. There is usually no pain or other bodily symptoms . . . unless the disease is severe.

• Breakthrough patented laser technology

• Proven clinical results

• Vaporizes the pathogens that cause the fungus

• Minimal to no discomfort — without anesthesia

• No harmful UV radiation

• Quick & safe

• No drugs or side effects

Visit our website: http://www.laserzapfungus.com

Patient discusses laser treatment received for fungal toenails from San Leandro and Pleasanton, CA Podiatrist  Michael Stein

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Visit our website at: http://www.footdoctoreastbay.com

We are one of the first providers in the San Franciso/ Oakland/ San Jose areas of a brand new laser nail fungus treatment which offers hope for those who have been suffering from this problem and drug-free. Using a revolutionary laser treatment, in just 30 – 40 minutes, we can treat the pathogens that cause toenail fungus (Onychomycosis). Safe and with little to no discomfort, in clinical studies it has shown to be very effective. This leaves patients significant improvements in the health and appearance of their nails.

Onychomycosis is noticeable by a thickened, yellow, or cloudy appearance of the nail plate. The nail can become rough and crumbly, or can separate from the nail bed. There is usually no pain or other bodily symptoms . . . unless the disease is severe.

• Breakthrough patented laser technology

• Proven clinical results

• Vaporizes the pathogens that cause the fungus

• Minimal to no discomfort — without anesthesia

• No harmful UV radiation

• Quick & safe

• No drugs or side effects

Visit our website: http://www.laserzapfungus.comn

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Patient discusses laser treatment received for fungal toenails from San Leandro and Pleasanton, CA Podiatrist  Michael Stein

Visit our website at: http://www.footdoctoreastbay.com

We are one of the first providers in the San Franciso/ Oakland/ San Jose areas of a brand new laser nail fungus treatment which offers hope for those who have been suffering from this problem and drug-free. Using a revolutionary laser treatment, in just 30 – 40 minutes, we can treat the pathogens that cause toenail fungus (Onychomycosis). Safe and with little to no discomfort, in clinical studies it has shown to be very effective. This leaves patients significant improvements in the health and appearance of their nails.

Onychomycosis is noticeable by a thickened, yellow, or cloudy appearance of the nail plate. The nail can become rough and crumbly, or can separate from the nail bed. There is usually no pain or other bodily symptoms . . . unless the disease is severe.

• Breakthrough patented laser technology

• Proven clinical results

• Vaporizes the pathogens that cause the fungus

• Minimal to no discomfort — without anesthesia

• No harmful UV radiation

• Quick & safe

• No drugs or side effects

Visit our website: http://www.laserzapfungus.com

The cosmetic procedure has been deemed a “Cinderella” procedure by England’s the Daily Mail, and is now becoming a popular procedure both in Europe and in the United States.

The “Cinderella” procedure is a preventive bunion correction procedure, and can include a toe-shortening operation, and fat injections to create a cushion under the feet. The procedure can be performed by cosmetic surgeons and orthopedic surgeons, and may be able to correct certain foot deformities and reduce pain.

Some cosmetic surgeons also administer Botox injections to the feet. Botox injections can help to reduce sweating, inhibit fungal growth and also improve the overall texture and tone of the skin. Some women prefer to simply have their toes trimmed or lengthened.

Those who aren’t quite ready to go under the knife do have some alternative treatment options. Physical therapy can help to increase the range of motion in the joints and also reduce swelling and pain. Prescription orthotics-molded inserts can help to correct foot abnormalities and redistribute weight so that there is less pain or friction. Ultrasound-guided cortisone injections serve as an anti-inflammatory medication and can help to treat Achilles tendons, pain the heels and toes.

Interest in cosmetic foot surgery has increased slowly since the 1980s, and can help to address a number of problems with the foot. Many problems associated with high heels can be prevented, but women who have been wearing heels for several years and are now suffering from pain or the inability to wear heels without pain have several options.

Women are undergoing cosmetic surgery in order to fit into stilettos

The “Cinderella procedure” is a preventative bunion operation popular at the Beverly Hills Aesthetic Foot Surgery.  More and more women are undergoing such operations in order to fit into a tiny pair of heels.

Having grown up with congenital hallux valgus (a form of bunion) and undergoing corrective surgery at 15 years of age I know only too well what it’s like to be unable to fit into a pair of high heels.

I was mocked by a shoe website for entering and leaving the Big Brother house in the same pair of shoes as I only have the one pair that I can wear comfortably, despite this I won’t be undergoing surgery.

Feet seem simple enough but they are actually rather complicated structures, it took me months to learn to walk again following the medical procedure I had.

What’s more, messing about with one joint can lead to referred pain at another which is the warning podiatrists are giving women before they consider undergoing this procedure.

If you are thinking about undergoing surgery to fit into a pair of shoes you should decide if it’s worth the pain that could arise for the pleasure of wearing those stilettos.

In my opinion shoe manufacturers should start making shoes available in sizes which fit onto real peoples feet before women start adjusting their feet to fit into heels!

We’re taught in life to put our best foot forward.

 ”I hope patients will follow the Foot and Ankle society’s recommendation that surgery never be performed just to improve the appearance of the foot,” Pinzur said in a news release.

 Pinzur is a professor in the Department of Orthopaedic Surgery and Rehabilitation at Loyola University Chicago Stritch School of Medicine.