Monday, 17 August 2020 00:00

Possible Symptoms of an Ingrown Toenail

An ingrown toenail is defined as the outside edges of the nail growing into the surrounding skin, instead of over the skin. The big toe is generally affected the most, but it can occur in any of the toes. If it is not promptly treated it may become infected, which can be accompanied by pus drainage, redness, and often swelling. Common causes of this ailment can include genetics and wearing shoes that do not have adequate room for the toes to move freely in. Patients have found mild relief when the affected foot is soaked in warm water, and this is generally helpful in softening the skin. This can be followed by inserting a small piece of cotton between the nail and skin, which can be beneficial in lifting the nail off of the skin. If you are afflicted with an ingrown toenail, it is strongly recommended that you are under the care of a podiatrist who can offer you the best treatment options.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Read more about Ingrown Toenail Care
Tuesday, 22 September 2020 00:00

Tarsal Tunnel Syndrome 101

Tarsal tunnel syndrome occurs when the tibial nerve in the tarsal tunnel gets squeezed or pressed, resulting in multiple issues. This narrow tunnel in the ankle, next to the ankle bone, serves as a pathway for nerves, veins, arteries and tendons. Risk factors for tarsal tunnel syndrome include having flat feet, muscle tightness, an abnormal structure like a cyst or tumor in the foot, trauma, or systemic diseases such as diabetes. Common symptoms of tarsal tunnel syndrome include pain on the inside of the ankle, a shooting sensation that can radiate up the ankle, and numbness or tingling along the sole of the foot. Those who believe that they may be suffering from tarsal tunnel syndrome should consult with a podiatrist immediately in order to prevent future damage. There are a variety of both surgical and nonsurgical treatment options and your podiatrist will determine what course of action is best for you. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Read more about Treating Tarsal Tunnel Syndrome
Monday, 14 September 2020 00:00

Podiatry as a Career

People who are interested in helping patients with abnormalities of the foot and ankle may want to pursue a career in podiatry. Doctors in this specialized field treat conditions that include hammertoe, bunions, and plantar fasciitis. Mandatory schooling consists of completing a four-year undergraduate degree pertaining to medicine. Afterwards, a course is started in podiatric college, which will take four years to complete. The qualified student achieves the title of Doctor of Podiatric Medicine, and then a residency that generally takes three years to complete can begin. Podiatrists have the choice to begin an independent practice, become part of a group practice, or may start a career working in hospitals. Research has indicated that podiatry is a fast growing field of medicine, and it is suggested that you speak to a podiatrist who can help you to determine if this is a correct career choice for you.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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

Read more about What is a Podiatrist?
Tuesday, 08 September 2020 00:00

How to Prevent Ankle Injuries While Running

If you are a runner or know any runners, then you are likely no stranger to running injuries. Ankle injuries, such as strains and sprains, are very common among athletes. Fortunately, there are measures that you can take to prevent injury. Strengthening the ankle can potentially help you avoid injuries to the ankle joint. You may want to try some simple exercises, such as doing ankle circles, calf raises, and shin raises. Another area that you can improve on to decrease your risk of injury is balance. Work on your balance by practicing balancing on one leg at a time for one minute. When you run, avoid running on uneven surfaces, as these place more stress on your joints, and unforeseen hazards, like holes or tree roots, can make you trip or roll your ankle. It is also important to wear the appropriate shoes. Opt for running shoes that are supportive and fit your foot well. Finally, make sure that you take breaks regularly, giving your legs time to rest and recover. For more information on preventing ankle injuries, speak to your podiatrist today.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Read more about Sports Related Foot and Ankle Injuries
Monday, 12 October 2020 00:00

How Is Hammertoe Treated?

Hammertoe is a condition in which the smaller toes bend at the middle joint, even when they are at rest. Over time, the joint of the bent toes may become inflexible. There are several different treatments for hammertoe. In the early stages of this condition, a podiatrist may recommend getting fitted for shoes that are soft and roomy, especially in the toe area. These shoes should be half an inch longer than your longest toe. The podiatrist may also prescribe orthotic inserts to ease your pain and foot exercises to stretch and strengthen the toe muscles. If these treatments fail, surgery may be recommended. If you suspect that you have a hammertoe, it is suggested that you seek out the care of a podiatrist.

Hammertoes can be a painful condition to live with. For more information, contact Harvey Jacobs, DPM of Quality Foot Care Center. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

Read more about What Are Hammertoes?
Monday, 05 October 2020 00:00

How Is Ankle Replacement Surgery Performed?

Ankle replacement surgery is a treatment used to replace a damaged ankle joint with a prosthetic. Usually, the patient is put under general anesthesia, so that they are asleep and do not feel pain. Next, the surgeon makes a cut in the front of the ankle, exposing the ankle joint. After gently pushing the tendons, nerves, and blood vessels to the side, the surgeon removes the damaged bone and cartilage. The surgeon removes the damaged parts of the lower end of the shin bone and the top of the foot bone. Then metal parts of the new artificial joint are attached to the cut bony surfaces and a piece of plastic is inserted between them. The surgeon then puts the tendons and nerves back into place and stitches the incision site closed. The ankle is typically immobilized with a splint, cast, or brace while the patient recovers. To learn more about ankle replacement surgery, speak with a podiatrist. 

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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

Read more about Joint Replacement Surgery
Monday, 28 September 2020 00:00

What Is Causing My Achilles Tendon to Hurt?

The Achilles tendon is the band of tissues that connects the back of the calf muscles to the heel bone. Common causes of pain primarily consist of ruptures and tendonitis. During a tear or rupture of the Achilles tendon, some of the fibers may remain connected (partial tear) or tear completely. Ruptures are likely to occur when there is a sudden increase in exercise and may be signaled by a popping or snapping sound, pain in the back of the legs, or swelling around the heel. Achilles tendonitis occurs when the tendon becomes inflamed, resulting in pain, stiffness, or swelling. Achilles tendonitis can occur from excessive strain, tight calf muscles, or not warming up before exercising. If you are experiencing pain in your Achilles tendon it is recommended to have it checked by a podiatrist for a proper diagnosis.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Harvey Jacobs, DPM of Quality Foot Care Center. 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 our office located in Somerset, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles Tendon Injuries
Monday, 02 November 2020 00:00

What Are the Symptoms of Cuboid Syndrome?

Pain that is felt on the outside of the foot may be indicative of cuboid syndrome. The cuboid bone may become displaced as a result of a sudden injury, or it may gradually become displaced from repetitive overuse. The symptoms that are often associated with this condition can include pain and weakness which can be felt on the outside of the ankle. Additionally, the area may appear to be bruised and swollen, and it can be difficult to walk. The healing process can begin with performing specific stretches that may help to realign the affected joints. If you are experiencing pain in this part of your foot, it is strongly recommended that you consult with a podiatrist who can properly diagnose and treat this condition.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

 

Read more about Cuboid Syndrome
Monday, 26 October 2020 00:00

Possible Reasons for Cracked Heels

Cracked skin on the heels of your feet is a common foot condition. Usually, it is caused by environmental or lifestyle factors, such as wearing shoes that have open backs, wearing shoes that rub against your heels, standing for extended periods of time, using harsh soaps, taking long, hot showers, or living in a climate that is cold or has low humidity. If your cracked heels are caused by any of these factors, you can make small changes to heal cracks and prevent new ones from forming. For example, you could choose to wear shoes with a closed back, take shorter showers, and moisturize your feet regularly. Occasionally, cracked skin on the heels could be the first sign of more serious problems, like diabetes or neuropathy. If you notice any open sores or reduced sensation in the feet, or if the cracks on your heels become deep and painful, it is recommended that you see a podiatrist for treatment as soon as possible. 

 

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Harvey Jacobs, DPM from Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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

Read more about Solutions for Cracked Heels

Plantar fasciitis is a painful inflammation of the plantar fascia, a thick ligament that runs along the bottom of your foot. The most common symptom of this condition is a sharp or stabbing pain in the heel or arch of the foot. The pain is often worse in the morning after a period of inactivity, however, pain may also be worse after long periods of standing, walking, or running. Certain risk factors can make one more likely to develop plantar fasciitis. These include being overweight, participating in activities that repeatedly put pressure on or stretch your foot, being between the ages of 40 and 60, having abnormal foot mechanics, having flat feet, having a tight Achilles tendon, standing all day, wearing shoes that do not have arch support, and suddenly changing your activities. If you suspect that you have plantar fasciitis, please see a podiatrist for a proper diagnosis and advised plan of treatment. 

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Harvey Jacobs, DPM  from Quality Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis
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