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December 19, 2015
Category: Uncategorized
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Ingrown toenails are a common problem seen in the feet. Although there is typically no great risk or concern unless infection sets in, they can be quite painful and cumbersome to manage. Nonetheless, if recognized, diagnosed, and treated early, they are rarely problematic. However, many patients find themselves unsure of how to proceed when suspecting an ingrown nail. Is it really ingrown? Is it infected? Can I cut it out myself? Can I take or apply medicine instead of cutting the nail out? All of these questions are fairly common, and reasonable.
An ingrown toenail, or onychocryptosis, is when one or both sides of the nail grow into the adjacent nail fold/skin. They are usually caused by ill-fitting shoe gear, heredity, trauma to the nail, or improper trimming of the nail. An ingrown nail is not always infected. In fact, many times the nail can be embedded in the skin without an associated bacterial infection. However, if left untreated, many ingrown toenails will develop some sort of localized infection, which usually presents with redness, pain, bloody drainage, or even pus. While an infection is an undesirable result for any patient, it is especially concerning for diabetics with decreased sensation, or other patients with any condition causing poor circulation to the feet. Such an infection, if left untreated could lead to spreading of the infection, development of a wound, or possible amputation of the digit. Thus, while there are many home remedies or methods of treating a possible ingrown nail, it’s always best to see your podiatrist for evaluation and treatment, particularly if you are an at-risk patient with diabetes, peripheral neuropathy, or some form of vascular disease.
November 23, 2015
Category: Uncategorized
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Diabetes and your Feet:
Diabetes is a lifelong chronic disease that is caused by high levels of sugar (glucose) in the blood. This disease can cause a number/variety of complications, including numbness in the feet and an inability to fight off infections. This combination can lead to serious problems, sometimes life threatening, if not carefully monitored or identified.
Foot problems are the leading cause of hospitalizations for diabetics. The most common problems leading to these hospitalizations include ulcerations, soft tissue infections, bone infection, abscesses, and gangrene of the toes/foot. All of these problems usually come from one of (or a combination of) the following three health risks: peripheral neuropathy (numbness), peripheral vascular disease (poor circulation), or decreased ability to fight infections. The good news is, most of the aforementioned problems/causes of hospitalization are completely preventable with proper care and inspection during regular visits to your Podiatrist. Your podiatric physician will be able to evaluate your sensation, blood flow, identify and problems or risks, and treat them before a hospitalization or even amputation is needed.
Many diabetics wonder 'What can I do myself to help prevent these problems?" There are several measures diabetics can take on a regular/daily basis to ensure the health of their feet between visits to their Podiatrist...
1. You or a family member visually inspect your feet daily. Be sure to note any blisters, calluses, bleeding, redness, swelling, or other concerning/abnormal lesions.
2. Check the inside of your shoes prior to use for loose objects such as rocks or metallic fragments.
3. Avoid walking barefoot outside your home.
4. Do not soak the feet, and avoid extreme temperatures such as hot water soaks/heating pads.
5. Maintain a healthy blood glucose level and check daily.
6. Ensure you are wearing a shoe with adequate width, length, and depth to avoid excessive rubbing/friction.
7. Wash your feet daily with warm, soapy water and dry well, particularly between the toes.
8. Do not use acids, chemical corn removers, or attempt to perform "bathroom surgery."
9. Avoid smoking (or use of other tobacco products) and drinking.
10. Get regular examinations of the feet by your podiatrist, typically every couple months.

November is National Diabetes Month! All of us are affecting by this disease in one way or another. All month we will be posting helpful tips and links to support the community. To start here is a list of events for the local Nashville American Diabetes Chapter:

Check out our main page and/or our Facebook page for additional helpful tips.  If you are unsure about whether you are diabetic or not be sure and speak to your primary care physician.  The earlier you are diagnosed the better your chances are of keeping it under control to avoid complications.

By Foot & Ankle Centers, PC
May 19, 2015
Category: Uncategorized
Tags: Fungus   Podiatry   Fungal Infections   Infection  

Fungal infections of the toenails can be difficult to treat, and recurrences are common. During the summer, toenail infections occur more frequently, as people spend more time walking barefoot in places where bateria and fugi can lurk - around pools, at the beach, etc. Feet also tend to sweat more in warm weather, which can contribute to an infection. There are new medications on the market that have shown promise in treating fungal infections, although infections can recur.

Feet seem especially susceptible to nail problems of all kinds, including fungal infections. It might be because of the time they spend in dark, moist places, or it might be because of the lack of attention they get. Whatever the cause, we can discuss the different treatment options available to you.

By Foot & Ankle Centers, PC
May 05, 2015
Category: Uncategorized

Gout is a form of arthritis that causes intense joint pain, inflammation, and redness. The condition is caused by an accumulation of uric acid. Gout typically strikes the big toe joints, knees, ankles, and insteps. Should a gout attack occur, professional care can dramatically alleviate the agony of an attack. Some steps that can help avoid an attack include maintaining a healthy weight, avoiding foods like red meat, red wine, beer, shellfish, limiting alcohol intake, and drinking plenty of fluids.

Many medical conditions that affect the body's joints cause damage to your feet. Although as your podiatrist I do not treat the underlying medical condition, I do work closely with your primary care physician to provide care and catch problems early.

P.S. More than 2 million American suffer from gout.