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Posts for category: Podiatry

By John M. White, DPM
July 08, 2019
Category: Podiatry
Tags: Hammertoes  

A hammertoe is a common foot deformity that affects the middle joint of the smaller toes. As a result, this causes the toes to bend downward. Since this bend causes the joint to stick out this can put more pressure on the affected joints when wearing shoes, which can also make the deformity worse over time. As with most foot deformities a hammertoe will start out minor and continue to progress over time if left untreated.

During the earlier stages you may not notice much pain and discomfort. In fact the only way you may be able to tell that you have a hammertoe is by examining the foot and noticing that the small toes bend downward like a claw. Of course, at this stage the deformed joint is still flexible enough to be straightened out.

However, if the deformity progresses this can cause the joint to become rigid, which won’t respond effectively to simple conservative treatments. As you might imagine, the sooner you see a podiatrist to treat your hammertoe the better. Early intervention is key, as a hammertoe will not get better without the proper care.

Hammertoes are often the result of an imbalance in the muscle or tendon of the foot. Over time, this leads to structural changes in the foot. Genetics may also play a role in whether your feet are at risk for this deformity. A hammertoe can also be made worse by wearing shoes that are too tight and put too much pressure on the toes.

Along with the structural changes that occur with hammertoes it’s also common to experience redness, inflammation or the development of a corn or callus on the toe. If you are noticing symptoms of a hammertoe see your podiatrist for an evaluation. A simple physical exam is usually all that’s needed to diagnose a hammertoe; however, sometimes an x-ray will be performed in order to determine the extent of the deformity.

If you are dealing with a flexible hammertoe, more often than not simple nonsurgical treatment options are all that’s needed. Following simple treatment options and care can prevent the hammertoes from becoming rigid or painful. Some nonsurgical treatment options include:

  • Wearing the appropriate footwear. This means wearing shoes that aren’t pointy or have high heels, which can put more pressure on the toes.
  • Placing custom orthotics into your shoes, which can ease discomfort and prevent pain resulting in a muscular imbalance.
  • Taking over-the-counter pain relievers such as ibuprofen, which can reduce both pain and inflammation.
  • Splinting the toe or toes to keep them straight, which can also reduce stiffness, inflammation and pain.
  • Applying protective non-medicated padding over the top of the toe to prevent a corn or callus from developing.

If your hammertoe is painful or rigid then you may need to discuss whether surgery is the best option for alleviating your symptom and correcting the deformity. If you are dealing with a hammertoe turn to a foot specialist for help.

By John M. White, DPM
June 19, 2017
Category: Podiatry
Tags: Healthy Feet  

Looking fabulous in your favorite pair of heels does have a price. In fact, shoes that fit poorly or have high heels frequently cause foot problems, including calluses, corns, bunions, and blisters, just to name a few.

All footwear eventually show signs of wear and tear. Inspect the condition of your own shoes. Do they appear stretched out or worn? Then you probably need a new pair. Creasing of the midsole is also a good indication that your shoes have lost their cushion and support.

Maximize Fit, Minimize Discomfort

The following tips can help you avoid purchasing a pair of shoes that may contribute to a long list of foot problems:

  • Try on shoes late in the day, when the feet tend to be a bit larger due to natural swelling
  • Women should opt for low, stable heels
  • Try on both shoes to be sure that they fit comfortably on both feet
  • Choose breathable shoe materials, such as leather, to prevent excessive sweating and blisters
  • Have your feet measured to ensure the best fit
  • Avoid pointy-toed shoes which cause bunions and hammertoes
  • Walk around the store with both shoes on to make sure the fit is comfortable
  • For athletes, choose shoes that are specific to the sport you play
  • Choose the right shoe for your foot type (e.g. if you have flat feet, select shoes with good arch support)

Still not ready to part with your favorite pair of sneakers or trendy heels? Not sure if the shoes you currently wear are right for your feet? A professional podiatrist can evaluate the condition of your feet, and work with you to find the best pair of shoes for you!

By John M. White, DPM
January 16, 2017
Category: Podiatry
Tags: Foot Odor  

Foot OdorThe feet have more sweat glands than any other part of the body, which means they have the ability to sweat profusely. With your feet encased in your shoes all day and the sweat unable to evaporate, bacteria will begin to grow rapidly. Bacteria then begins to break down the sweat, generating an unpleasant odor. Other factors can contribute to increased perspiration, including anxiety, hormonal changes, medications and various skin conditions.

Foot odor is a common problem, especially among those who perspire excessively, but it can be both embarrassing and physically uncomfortable. If you suffer from foot odor, rest assured that simple lifestyle changes and improved personal hygiene can help reduce and eliminate the smell.

Easy Ways to Eliminate Foot Odor

Since most foot odor is caused from excess sweat and the growth of odor-causing bacteria, it's relatively easy to control and reduce foot odor on your own. Start by taking the following preventative steps:

  • Keep your feet clean by washing them with an antibacterial soap on a regular basis to minimize bacteria.
  • Keep feet dry as moisture enables the growth of bacteria.
  • Alternate shoes and avoid wearing the same pair for multiple days in a row.
  • Choose open shoes such as sandals when possible, allowing air onto the feet which evaporates sweat and slows the growth of bacteria.
  • Wear cotton socks which wick away moisture and absorb perspiration.
  • Apply foot sprays and powders to the feet. Ask your podiatrist for recommended products.
  • Disinfect, wash and discard foul smelling shoes as necessary.

The causes of foot odor are typically not harmful to your health, but do create an environment for the growth of fungus and bacteria. It's not unusual for infections such as toenail fungus and athlete's foot to develop as a result.

When improving your foot hygiene doesn't help reduce the smell, you may need to visit your podiatrist, as persistent foot odor can indicate an infection or a severe case of hereditary sweating. In these cases, a prescription ointment may be required to treat the problem. Visit our office, and we'll work with you to determine the cause and most effective treatment for your condition!