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What Is a Nail Avulsion?
A nail avulsion is a surgical procedure that is used to treat severe ingrown toenails. During the surgery, the doctor removes the ingrown part of your nail from the surrounding skin. There are two types of nail avulsions. A partial nail avulsion involves removal of part of the nail bed. During this procedure, the nail is numbed with anesthetic and the ingrown edge is removed. Any pus is also drained. A total nail avulsion involves the complete removal of the nail. It can take a year or longer for a new nail to grow back. This operation is usually reserved for chronic cases that have not responded to any other treatments. If you have ingrown toenails, please seek the care of a podiatrist, who will find the right treatment for you.
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. Douglas Mckay of New Jersey . 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Reminder: When Was the Last Time...?
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
When to See a Podiatrist for Achilles Tendinopathy
Achilles tendinopathy refers to the inflammation of the Achilles tendon, a thick band of tissue that connects the calf muscles to the heel bone. Symptoms of Achilles tendinopathy include pain in the back of the ankle and heel that worsens with activity, a restricted range of motion, swelling, redness, heat, or a lump in the tendon. People who play sports and those who have flat feet or high arches are at an increased risk of Achilles tendinopathy. While mild injuries can respond well to home treatments like resting, icing, compressing, and elevating the affected leg, more severe injuries will need prompt attention from a medical professional. If you heard a popping or snapping sound before you began to feel pain or have severe pain that doesn’t improve over time, it is suggested that you see a podiatrist as soon as possible for treatment.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Buying Shoes That Feel Comfortable
By wearing shoes that fit well, you can prevent the development of many foot conditions such as bunions, corns, calluses, hammertoes, blisters, ingrown toenails, plantar fasciitis, Morton’s neuroma and more. Start by knowing your true size. You may think your feet are the same size as they were a few years ago, however, age, changes in weight, and other factors may cause your feet to grow and expand. Have your feet measured every time you buy shoes—both in length and width. Make sure you try shoes on at the end of the day, after your feet have expanded. Check for ⅜” to ½” of space between the tip of the shoe and your big toe, and that the ball of your feet don’t feel squeezed. Don’t buy shoes that feel uncomfortable thinking they will expand, or that you will wear them in later. Walk around the store for a while to get a real sense of their fit. Make sure you don’t slip around in them or that they cause friction by rubbing against your feet, toes, back of your heel, etc. If you are struggling to find the shoes with the right fit for you, a podiatrist can offer additional tips for buying shoes that are appropriate for your particular feet.
Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dr. Douglas Mckay from New Jersey . Our doctor will provide the care you need to keep you pain-free and on your feet.
Getting the Right Shoe Size
There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.
- When visiting the shoe store, use the tools available to measure your foot.
- Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
- Do not always assume you are the same size, as manufacturers run differently.
- Purchase shoes later in the day, as your feet swell as the day progresses.
- If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes
As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Stretching and Heel Spurs
Patients who have developed heel spurs are often aware of the pain and discomfort they can cause. They can cause difficulty in pursuing daily exercise routines, and specific stretches may need to be incorporated that can possibly bring mild relief. A heel spur is defined as a bony growth that gradually develops and connects to the heel bone. It can develop as a result from standing on hard surfaces for most of the day, or from wearing shoes that do not fit correctly. Patients who are afflicted with heel spurs find it beneficial to stretch the calf muscles. This can strengthen the Achilles tendon, which connects the heel to the toes. It is practiced by standing on a step, and gently lowering one heel at a time. Additionally, relief from heel spur pain may be obtained from practicing a towel pickup. This is helpful in providing strength to the entire foot and may be more effective when a heavy object is placed at the top of the foot to increase resistance. For more information on heel spurs please consult with a podiatrist.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Douglas Mckay from New Jersey . Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the latest in diagnostic and treatment technology to meet your needs.
What Is a Heel to Toe Drop?
While searching for the right running shoe, you may have come across the term “heel to toe drop,” but what does this mean? The heel to toe drop is the difference in height between the heel and forefoot area of the running shoes. This is measured in millimeters. Shoes are divided into four categories based on the size of the heel to toe drop. There is zero drop (0mm), low drop (1-4mm), mid drop (5-8mm), and high drop (8+mm). The most common heel drop in standard running shoes measures about 10mm. The heel to toe drop can affect your gait, foot strike pattern, and running form, so it may be beneficial to select shoes that compliment or compensate for your gait and any foot or ankle issues that you may have. A podiatrist can examine your feet for any issues and perform a gait analysis to help determine what kind of running shoes would be best for you.
If you are a runner, wearing the right running shoe is essential. For more information, contact Dr. Douglas Mckay from New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.
- Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
- Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
- Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Warts Can Be Treated!
Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!
Should I See a Podiatrist for a Foot Wart?
Foot warts, also known as plantar warts, are often found on the soles of the feet. They can be contagious and are generally caused by human papillomavirus (HPV). The warts usually begin as small, rough areas of thickened skin. Over time, they may spread along the surface of the foot and develop tiny black dots at their center. These dots are actually clogged blood vessels. If you notice warts on the bottom of your feet, it is a good idea to consult with a podiatrist. Sometimes plantar warts do not cause any symptoms and may go away on their own. Other times they can be painful, persistent, and unsightly. Pressure on the feet from bearing the weight of your body could cause warts to grow inwards, leading to significant pain while walking or standing. Diabetics should always see a podiatrist if they develop plantar warts because diabetes can greatly increase the risk of other foot complications. For more information about plantar warts, please consult with a podiatrist.
Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Douglas Mckay from New Jersey . Our doctor will assist you with all of your foot and ankle needs.
About Plantar Warts
Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.
While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.
Symptoms
- Lesions on the bottom of your feet, usually rough and grainy
- Hard or thick callused spots
- Wart seeds, which are small clotted blood vessels that look like little black spots
- Pain, discomfort, or tenderness of your feet when walking or standing
Treatment
- Freezing
- Electric tool removal
- Laser Treatment
- Topical Creams (prescription only)
- Over-the-counter medications
To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.
If you have any questions please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Athlete’s Foot in Children
Despite its name, your child doesn’t have to be particularly athletic to incur athlete’s foot, a fungal infection of the skin on the feet. The fungus that causes athlete’s foot grows on warm, damp surfaces such as public swimming pools, showers, and locker rooms. It can also thrive on moist feet, or spread from person to person. Athlete’s foot causes symptoms such as cracked, peeling, red, and scaly skin between the toes or on the soles of the feet, itchiness, and an unpleasant odor. Fortunately, treatment for athlete’s foot is usually simple and straightforward. Your child’s doctor will most likely prescribe a topical antifungal medicine, such as a cream or powder, to apply to the infected feet. In more severe cases, oral antifungal medication may be needed. If your child has athlete’s foot, it is suggested that you schedule an appointment with a podiatrist.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. Douglas Mckay of New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Methods That Can Help Diabetic Patients to Feel Better
Diabetic foot is a condition that can require a hospital stay for some diabetic patients. It is a condition that may cause the patient to lose feeling in their feet, which can make it difficult to feel a cut or a bruise. It occurs as a result of elevated blood sugar levels. It is beneficial to control the amount of sugar that is ingested, and this is often helpful in keeping glucose levels within a normal range. Additionally, many patients find their feet feel better when they are gently washed and dried, and trimming the toenails correctly may help to avoid cuts on the toes. It is important to incorporate gentle exercise into your daily routine, as this may help to improve circulation and overall health. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to properly manage any foot-related problems that may arise because of 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. Douglas Mckay from New Jersey . 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
More...
What Bones Can Break In an Ankle Fracture?
Your ankle is made up of three bones, all of which can be broken or cracked from an injury. The tibia is the larger of two main bones that make up your ankle. You can feel the lower end of it along the inside of your ankle. The fibula is the thinner of the two main ankle bones, and you can feel the lower end of this bone along the outside of your ankle. The talus is a wedge-shaped bone located deep inside the ankle, between the heel bone and the ends of the tibia and fibula. Ankle fractures are usually caused by a sudden, sharp twist of the ankle or a direct impact to the area. Symptoms include immediate, severe pain, swelling, bruising, tenderness, and difficulty walking. If you suspect that you may have fractured your ankle, it is strongly suggested that you seek the care of a podiatrist as soon as possible.
Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Douglas Mckay from New Jersey . Our doctor can provide the care you need to keep you pain-free and on your feet.
Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.
When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.
Symptoms of a Fractured Ankle
- Excessive pain when the area is touched or when any pressure is placed on the ankle
- Swelling around the area
- Bruising of the area
- Area appears to be deformed
If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.
If you have any questions, please feel free to contact one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
The Wagner Diabetic Foot Ulcer Classification System
If you suffer from diabetes, you may be familiar with the increased risk of developing poorly healing wounds on your feet. Small cuts, sores, or scrapes can go unnoticed due to neuropathy or nerve damage, and heal slowly because of poor circulation. These issues can make wounds grow larger and become infected, turning into diabetic foot ulcers (DFUs). There are various classification systems for describing the general characteristics of these wounds. Doctors who use the Wagner system classify DFUs by their severity, in a graded system ranging from 0 to 5. A Grade 0 ulcer means that the skin is intact. Grade 1 signifies a superficial ulcer on the outer layers of skin. Grade 2 is a deep ulcer. Grade 3 is an ulcer with bone involvement. Grade 4 means that there is gangrene or dead tissue in the front of the foot, while Grade 5 means that the gangrene has spread to the entire foot. If you notice any wounds on your feet, please schedule an appointment with a podiatrist who can treat wounds and help you manage your 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. Douglas Mckay from New Jersey . 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Arthritis Can Cause Pain in the Feet and Ankles
If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.
What Causes Ankle Pain?
Ankle pain can occur due to various medical conditions or injuries such as sprains and strains—where the ligaments, muscles or tendons supporting the ankle become overstretched, torn, or otherwise injured. Ankle fractures—where one or more bones in the ankle break or shatter—can also be extremely painful, depending on the severity of the injury. When the Achilles tendon—which connects the calf muscle to the heel bone—becomes overstretched or torn, an Achilles tendon rupture can occur. Fallen arches can cause painful shifts in the ankle bone. Systemic illnesses can also be to blame for ankle pain. For instance, gout causes painful uric acid crystals to form on the ankle joint, osteoarthritis wears down cartilage and creates bone-on-bone friction, and rheumatoid arthritis is an autoimmune disease which can attack healthy joints, like those in the ankle. A podiatrist can examine you and perform various tests to diagnose your ankle pain and use a variety of treatments and procedures to heal it.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Douglas Mckay from New Jersey . 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 one of our offices located in Caldwell, and Galloway, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
