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Monday, 17 February 2020 00:00

Do I Have An Ingrown Toenail?

The toe that is most likely to develop an ingrown toenail is the big toe. An ingrown toenail is defined as the corner of the nail growing into the surrounding skin, which can cause severe pain and discomfort. It may happen as a result of wearing shoes that do not provide enough room for the toes to move freely in, or from trimming the toenails too short and incorrectly. Some people are born with irregular or curved toenails, and this may increase the probability of developing an ingrown toenail. Common symptoms that are often associated with this condition can include red and tender skin surrounding the affected nail, and fluid may drain from the area. If you are afflicted with an ingrown toenail, it is strongly advised that you are under the care of a podiatrist who can offer you correct treatment options.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Brian Goldstein of Goldstein Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenail Care
Monday, 10 February 2020 00:00

Possible Dangers of Wearing High Heels

Many women enjoy wearing high heels. They can make the feet and legs look slender, as well as add style to many clothing choices. Despite their popularity, they have been linked to causing damage to the feet. It may be easier to trip and sprain an ankle while wearing this type of shoe, and the muscles in the feet may become strained as well. Additionally, wearing high heels that do not have ample room for the toes to move freely in may cause bunions or hammertoes to develop. Some of these conditions may be prevented by alternating between high heels, and shoes that have adequate support. If you would like more information about how high heels can affect the feet, please consult with a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Brian Goldstein from Goldstein Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact our office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Effect of High Heels on the Feet
Monday, 03 February 2020 00:00

How Ankle Sprains Can Cause You Pain

There are many different reasons for a person to experience ankle pain. One of the most common reasons is due to having an ankle sprain. While ankle sprains are quite typical within the sports community, they may still occur during everyday activities. If the ligaments of the ankle are stretched much greater than normal, they will become injured. This is typically caused by the foot turning inward. Along with pain, other common symptoms related to ankle sprains include inflammation, swelling, redness, and warmth near the affected area. In order to make sure you’re correctly caring for your ankle pain, we recommend you consult with a podiatrist for a proper diagnosis and advised treatment plan.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Brian Goldstein from Goldstein Podiatry. Our doctor 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
  • Bursitis
  • 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 office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Monday, 27 January 2020 00:00

Caring for Your Diabetic Neuropathy

It’s very common for those with diabetes to experience nerve damage. This may cause what is known as diabetic neuropathy, which often affects the feet. With this condition, it can be very difficult to feel if you have developed a wound. If these small injuries are not felt, it’s likely they will go untreated, which can be incredibly dangerous as that may lead to an infection, or further foot complications. To best care for your neuropathy, it’s suggested that you keep your blood sugar at a healthy level, check your feet daily, and refrain from walking barefoot. It is also advised that you wear protective footwear as an extra support for your feet. If you begin to notice symptoms such as a burning or tingling feeling in your feet, we recommend that you consult with a podiatrist as soon as possible for an advised treatment plan.

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 Dr. Brian Goldstein from Goldstein Podiatry. Our doctor 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 office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Neuropathy

Elevated blood sugar levels may cause foot conditions in diabetic patients. A loss of feeling may develop in the feet, which is referred to as neuropathy, and this can make it difficult to feel any sores or cuts that may be on the feet. An open sore may become infected, and develop into a foot ulcer. If this is left untreated, it may lead to amputation. There are several symptoms that can indicate serious foot conditions in diabetic patients. These can include a tingling sensation, staining on the socks, and the feet may feel cold. It is strongly advised that patients who are afflicted with diabetes are under the routine care of a podiatrist who can help them to efficiently manage this condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Brian Goldstein from Goldstein Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Conditions
Monday, 13 January 2020 00:00

Swollen Feet During Pregnancy

It is common knowledge that pregnant women have swollen feet. This typically occurs in the second trimester, and can be a result of hormonal changes, the growing fetus, and lifestyle habits. Research has indicated mild relief may be found when the feet are elevated as frequently as possible, and eating foods that have limited sodium. Additionally, it is beneficial to wear comfortable shoes, and to practice gentle stretching during the day. Some of these stretches can include rotating the ankles, pointing and flexing the feet, and it may help to refrain from crossing your ankles. If you would like additional information about the impact pregnancy may have on the feet, please consult with a podiatrist.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Brian Goldstein from Goldstein Podiatry. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Care for Pregnant Women
Monday, 30 December 2019 00:00

Signs You May have a Fungal Nail Infection

Fungal nail infections normally form slowly and often are very uncomfortable. There are many signs that can indicate if you have picked up a fungal nail infection. Discoloration of the nail is one giveaway you may have developed this condition. The nail will usually turn yellow, green, black, or white if it has been infected. The nail may also thicken, as well as turn into an abnormal shape, making it hard to trim and care for. Brittleness is another sign of a fungal infection. In certain cases, an infected nail may crumble, or fall off if not treated properly. It is likely to pick up a fungal infection by walking barefoot in environments that are warm and damp. These areas may include locker rooms or communal showers. Not properly washing and drying your feet on a daily basis, as well as not changing your socks and shoes can also be a factor in developing this condition. If you believe you have a fungal nail infection and would like more information on how to treat it, we recommend you consult with a podiatrist for professional care and a proper diagnosis.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Brian Goldstein of Goldstein Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact our office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Treating Toenail Fungus
Monday, 23 December 2019 00:00

Why Does Plantar Fasciitis Occur?

A common foot condition that affects numerous patients is referred to as plantar fasciitis. This occurs when the tissue that is located on the bottom of the foot becomes inflamed. This condition focuses on the plantar fascia, which connects the toes to the heels. The arch is supported by this band of tissue, and can be affected as this condition progresses. There are common reasons why plantar fasciitis may gradually develop. These can consist of standing for the majority of the day, existing foot conditions that may include having a rigid Achilles tendon, and wearing shoes that do not fit correctly. Patients may find moderate relief when the affected foot is elevated. It may also be beneficial to perform exercises that can strengthen the overall foot. Additionally, it may help to tape the foot which can provide support. If you feel you have this ailment, it is suggested that you schedule a consultation with a podiatrist who can help you to manage this condition.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Brian Goldstein from Goldstein Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Plantar Fasciitis
Friday, 20 December 2019 00:00

Wounds that Don't Heal Need to be Checked

Your feet are covered a good part of the day. If you are diabetic, periodic screening is important for good health. Numbness is often another sign of diabetic foot and can mask a sore or wound.

Tuesday, 17 December 2019 00:00

Foot Ulcers and Proper Treatment

Many diabetic patients are aware of the importance of properly taking care of wounds on their feet. Foot ulcers can be common in these types of patients, and can become worse as a result of damaged nerve endings that may accompany diabetes. This may cause the patient to lose feeling in the feet, making it possible that wounds on the feet are left undetected. If an existing wound becomes infected, it may develop into a foot ulcer. One of the first steps in treating a foot ulcer is to remove the affected wound tissue. This can be beneficial in helping the wound to drain, in addition to effectively examining the tissue that lies beneath it. Patients who have foot ulcers may be guided to wear a specific type of boot, or offloading device. This is a necessary step for successful healing. There are measures that can be taken which may help to prevent wounds on the feet. These can include examining the feet daily, washing and drying the feet thoroughly, and making sure blood glucose levels are within a normal range. If you have wounds on your feet, it is strongly suggested that you are under the care of a podiatrist who can help you to properly manage this condition

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Brian Goldstein from Goldstein Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Bala Cynwyd, PA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
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