Tuesday, 20 February 2024 00:00

Understanding How Fungus Infects the Toenail

Toenail fungus, medically termed onychomycosis, is a common fungal infection that affects millions of people worldwide. Fungi thrive in warm, moist environments, making the feet susceptible to infection, particularly in damp socks and shoes. When fungi, such as dermatophytes, yeasts, or molds, penetrate the toenail bed or nail plate, they cause the toenail to become discolored, thickened, and brittle. Fungal nail infections often start as a small white or yellow spot under the nail and progressively spread, leading to more severe symptoms if left untreated. Factors like poor foot hygiene, wearing tight or ill-fitting shoes, and walking barefoot in public places increase the risk of toenail fungus. Additionally, individuals with weakened immune systems, diabetes, or circulatory issues are more prone to fungal infections. If you have developed toenail fungus, it is suggested that you consult a podiatrist who can offer effective preventive measures, in addition to prescribing medication if needed for successful treatment.

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 Kristopher Jerry, DPM of Podiatry Health Services . 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 offices located in Port St Lucie, Stuart, and Hollywood, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Published in Blog

Tagged under

Tuesday, 20 February 2024 00:00

How to Treat Your Toenail Fungus

While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.

There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.

Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.

While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.

Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.

Published in Featured

Tagged under

Tuesday, 13 February 2024 00:00

Debridement and Saving a Limb

Debridement is a critical aspect of managing severely injured feet and lower extremities from diabetes, particularly in cases of open fractures with extensive skin and soft tissue loss. This surgical procedure involves the meticulous removal of contaminated, nonviable tissues and foreign materials from the wound. Debridement plays a pivotal role in preventing infection, a common complication in such injuries. During debridement, podiatric surgeons must work under optimal conditions, utilizing good anesthesia, adequate lighting, and magnification. The use of a tourniquet is often essential for better visualization of contaminants and distinguishing between viable and nonviable tissues. Skin margins are carefully freshened, subcutaneous tissues are excised to reach healthy fat, and damaged muscles and tendons are assessed for viability. Preservation of vital structures like nerves and blood vessels is paramount, as they are crucial for future reconstruction efforts. Proper recording of the debridement procedure, including the extent of tissue damage and the status of nerves and tendons, is essential for guiding subsequent treatment. If you are a diabetic patient and have wounds, ulcers, or other foot or ankle skin conditions, it is strongly suggested that you are under the care of a podiatrist who can consider debridement as a possible effective treatment.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Kristopher Jerry, DPM from Podiatry Health Services . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.

Limb Salvage

Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes, peripheral vascular disease, neuropathy, cancer, and severe crush injury. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.

The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If the bone is removed, it is then replaced with prostheses, synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.

Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.

Published in Featured

Tagged under

Tuesday, 06 February 2024 00:00

Surgery After Recurrent Ankle Sprains

Many ankle sprains can improve with exercises and therapy, but in some cases, surgery is necessary. Surgical treatment focuses on the ligaments in the ankle, which are like bands holding the bones together. There are two main surgical approaches for ankle sprains. One involves repairing the ligaments to make them stable and stronger. The other method uses a piece of tendon to replace the damaged ligaments, offering increased stability. The primary goal of surgery is to restore the ankle's strength and stability, reducing the risk of further injuries. Each approach has its pros and cons. Ligament repair allows for better ankle movement and quicker healing, while tendon grafts provide more stability but may require a longer recovery period. There is also a small risk of nerve injury associated with the tendon graft method. Podiatrists typically attempt the ligament repair method first, reserving the tendon graft approach for cases where the initial surgery does not yield the desired results or when the ankle instability is particularly severe. If you have had repeated ankle sprains, it is suggested that you schedule an appointment with a podiatrist to discuss whether ankle surgery is appropriate for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Kristopher Jerry, DPM of Podiatry Health Services . Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

Removing foot deformities like bunions and bone spurs
Severe arthritis that has caused bone issues
Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

Bunionectomy for painful bunions
Surgical fusion for realignment of bones
Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Port St Lucie, Stuart, and Hollywood, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.

Published in Featured

Tagged under

Wednesday, 31 January 2024 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Published in Blog

Tagged under

Tuesday, 30 January 2024 00:00

Ingrown Toenails and Infection Control

Ingrown toenails, a common foot ailment, occur when the nail's edge grows into the surrounding skin, leading to discomfort and potential infection. Effective infection control is critical in managing ingrown toenails. To prevent infections, it is important to maintain good foot hygiene. Keep your feet clean and dry, and trim your nails straight across to avoid sharp edges. Additionally, soaking your feet in warm, soapy water can help soften the nail and reduce inflammation. Wearing comfortable, well-fitting shoes that provide adequate toe space will help prevent ingrown toenails. In cases where an infection develops, or for severe or recurring ingrown toenails, it is suggested that you schedule an appointment with a podiatrist who can provide solutions, including possible nail removal.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Kristopher Jerry, DPM of Podiatry Health Services . 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.

Ingrown Toenail Care

An ingrown toenail is a toenail that grows sideways into the nail bed, causing pain and swelling. Ingrown toenails can worsen and cause drainage, turning into a serious infection.

Several factors affect whether a person is at risk from an ingrown toenail. The many causes include being overweight, diabetes, participating in sports, having a fungal infection of the toe, and cutting your nails too short. Ingrown toenails also have a genetic predisposition, causing some people to be more prone to receive the condition than others. Other causes include improperly fitting shoes and shoes that keep the feet damp.

Ingrown toenails can be preventable with certain measures. For starters, allowing your toe nails to grow slightly longer in length will help prevent them from becoming ingrown. If you have already developed an ingrown toenail, soak the affected toe in warm water. This will alleviate the pain and help prevent an infection from forming. Antibiotic soap or Epsom salts may be added to further help the relieving process and avoid infection. Placing cotton beneath the affected area is also suggested, as this may help the toenail grow upwards and not into the nail bed. Swelling and redness can be reduced by resting with your feet elevated.

A podiatrist should be seen if the pain becomes so serious that it prevents you from doing your everyday activities. If a red streak running up your leg appears or if you suspect your infection has spread, contact a podiatrist immediately. Fast treatments can be undertaken to lessen your pain and have you walking comfortably.

An ingrown toenail can be easily treated with a Band-Aid. Simply wrap the affected toe with a Band-Aid to prevent infection and keep the nail from growing out at a painful angle.

In more serious cases, your podiatrist may decide to make a small incision to remove a portion of your toenail. To prevent the nail from growing back, medication will be placed directly into the nail bed. This procedure would be performed under local anesthesia and is a faster method to alleviate discomfort from an ingrown toenail. Post-procedure directions will have you stay off the affected foot for a day. Afterwards, normal activities can be resumed.

Published in Featured

Tagged under

Tuesday, 23 January 2024 00:00

Neuropathy and Burning Feet

Experiencing a persistent burning sensation in your feet may indicate neuropathy has developed. The sensation of burning feet often results from nerve damage and is a common cause of this type of discomfort. While diabetes related neuropathy can be easily diagnosed, sudden or rapidly worsening unexplained burning sensations may necessitate comprehensive testing. Diagnostic measures include electromyography, or EMG, to assess muscle function, and nerve conduction studies to evaluate impulse transmission. In rare cases, a nerve biopsy may be conducted for microscopic examination. Laboratory tests such as blood, urine, or spinal fluid analysis may also help to identify underlying causes, such as vitamin E deficiency or uremia. Tailoring treatment for burning feet to the underlying cause is essential. For diabetic patients, treatment involves blood sugar control, insulin, diet changes, and oral medication. Alcohol induced neuropathy requires abstinence for nerve recovery. Chronic kidney failure may necessitate dialysis, and hypothyroidism calls for synthetic thyroid hormones. If you suspect neuropathy may be the cause of burning feet, it is suggested that you schedule an appointment with a podiatrist who is trained to manage foot conditions that stem from neuropathy.

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 Kristopher Jerry, DPM from Podiatry Health Services . 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.

Blog

Blog Archives