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Tuesday, 11 January 2022 00:00

Medications for Fungal Toenail Infections

Toenail fungus is extremely common, affecting about 5.5% of adults around the world. This condition can cause the toenails to become brittle, crumbly, discolored, or misshapen. In severe cases, the nails may even begin to separate from the nail bed and emit a foul odor. Treating fungal toenails can be difficult, as it can take a long time before there are visible results. There are various treatment options available, including topical medications that are applied directly to the nail, oral medications that are taken by mouth, and laser treatment. Currently, many podiatrists prescribe a combination of oral and topical treatments. While these medications can be effective, oral medications may cause unwanted side effects, and topical medications are not as effective for severe infections. If you have toenail fungus, it is suggested that you are under the care of a podiatrist. 

For more information about treatment, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Saint Petersburg, FL. . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 04 January 2022 00:00

Information About Cuboid Syndrome

The cuboid bones are two tiny, pea-shaped bones located in the ball of the foot, just in front of the heel bone. These small bones, or the ligaments that surround them, can be injured during physical activity. Symptoms of a cuboid injury include pain, discomfort, or weakness along the outside of the foot. There may also be mild swelling and bruising on the outside and bottom of the mid-foot and tenderness around the cuboids. Treatment for cuboid syndrome is usually conservative and may involve doing certain exercises or having the podiatrist manipulate a dislocated cuboid bone back into place. If you are experiencing the symptoms of cuboid syndrome, it is suggested that you see a podiatrist for diagnosis and treatment. 

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 Dr. Ian Klein, D.P.M from Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about All About Cuboid Syndrome

Morton’s neuroma occurs when the tissue surrounding a nerve in the toes thickens in response to the nerve becoming entrapped, or otherwise irritated. This usually occurs between the third and fourth toes, however, it can also occur between the second and third toes. Morton’s neuroma can cause a burning pain in the ball of the foot. People with this condition sometimes explain the pain they feel as walking on a pebble or having a bunched-up sock in the front of their shoe. The toes may also feel numb or tingling, and there may be difficulty walking. Wearing shoes that are too tight or that compress your toes may sometimes contribute to the formation of Morton’s neuroma. This can include ski boots and ballet slippers too. Other foot dysfunctions that squeeze or put pressure on the toes can be contributing factors, such as flat feet, bunions, hammertoes, and high arches. Certain repetitive sporting activities may also be responsible. If you ever experience any of the symptoms mentioned here, call a podiatrist. They will examine you and run diagnostics to rule out other possible conditions and create a treatment plan to relieve pain and treat the underlying thickened tissue and nerve compression.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Read more about Morton's Neuroma
Tuesday, 21 December 2021 00:00

Several Easy Steps of Foot Care

Caring for your feet is an important part of maintaining your foot health. This can be accomplished through several easy steps. First, you should wash your feet every day with soap and water to keep them clean. Next, dry your feet thoroughly, particularly in between the toes. This helps prevent foot fungus. Afterwards, apply a thick moisturizer to your feet and especially the heels. If you find that you have dry heels, exfoliate them once or twice a month using a wet pumice stone or loofah. Pamper your feet occasionally with a soak in warm water. Finally, make sure that you are wearing comfortable shoes and socks each day. For more information about daily foot care, please consult with a podiatrist. 

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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

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Thermoregulation is the body’s process of maintaining its core internal temperature, which is typically between 98°F and 100°F. Sweating is one of the mechanisms the body uses to cool down because as sweat evaporates it cools the skin, which lowers our internal temperature. Excessive sweating in specific areas of the skin is known as hyperhidrosis, or sometimes is referred to as plantar hyperhidrosis when it occurs in the feet. The specific cause of Hyperhidrosis is unknown, however its possible triggers are believed to include emotions, hormones, physical activity, or brain signals which inaccurately prompt sweat glands to overreact even when it is not necessary for thermoregulation. Sweat that sits stagnant on the skin of the feet can compromise the top layer of skin, making it more susceptible to bacteria which can create odor and even expose the body to more serious bacteria. Podiatrists have a variety of treatment options to help control this embarrassing and uncomfortable condition.

If you are suffering from hyperhidrosis contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

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

Read more about Hyperhidrosis of the Feet
Tuesday, 07 December 2021 00:00

How Aging Adults Can Take Care of Their Feet

Growing old can be particularly problematic on your feet. The good news is that with a little attention and care, you can help lessen the impact many age-related foot conditions have on your health and avoid more serious problems down the road. Many foot conditions brought on by age—arthritis, stretched ligaments and tightened tendons, to name a few—can be helped by staying active, exercising and stretching to stay strong and flexible. Hammertoes can sometimes develop from years of wedging your feet into shoes that are too narrow in the toes. The best way to avoid hammertoes is to choose shoes that fit properly and are wider in the toe box. Fat pads that provide cushioning and shock absorption wear down with age. Orthotics and footwear with reinforced soles can help compensate for this loss of natural cushioning. Staying hydrated and moisturizing your skin can help make up for a loss of collagen due to age, which can lead to dry, cracked skin. For more tips and preventative foot care for aging adults, consult with a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

Read more about Elderly and their Feet

If you work on your feet all day, you may want to look into how you can lessen the impact this can have on your health. You may even be able to reduce pain, swelling, and other complications that working on your feet may be causing. The first order of business is to get yourself a good pair (or two) of leather shoes with quality construction, non-slip soles, cushioned inner lining, wide heels and support in the back for your ankles. Alternate those shoes daily. Take every break you are entitled to and sit down while elevating your feet. Try strengthening your body through fitness training, stretching, and building up your endurance. Soak your legs in a hot tub at night to relieve muscles. A podiatrist can also create custom orthotics to distribute weight more evenly and provide extra cushioning and structure. If your feet are in pain after working all day, seek the counsel of a podiatrist to explore all possible treatment options. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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

Read more about How to Handle a Long Work Day on Your Feet
Tuesday, 23 November 2021 00:00

What Causes Plantar Fasciitis?

The plantar fascia is the band of tissue that run along the bottom of the foot and connects the heel to the toes. When the plantar fascia becomes inflamed or partially torn, it results in the condition that is commonly referred to as plantar fasciitis. Plantar fasciitis is one of the most common causes of heel pain. The pain is usually worse in the morning and after long periods of rest. Common causes of plantar fasciitis includes sitting or standing for long periods of time, having tight calf muscles, having flat feet or high arches, obesity, and arthritis. Patients who are struggling with heel pain should consult with a podiatrist because there are a variety of causes. Once you visit with a podiatrist, they will be able to provide a proper diagnosis, as well as a customized treatment plan for your condition.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

 

Read more about Plantar Fasciitis
Tuesday, 16 November 2021 00:00

Making Sense of Pinky Toe Pain

Discovering the cause of pinky toe pain can be challenging. Its strategic placement on the outside of the foot helps the pinky toe work in tandem with the heel and big toe to balance the body during movement. However, this very location and its petite size make the pinky toe more susceptible to injury. For instance, stubbing, or dropping something heavy on it can cause one or more of its three bones to break. Stress, or hairline, fractures may also occur from repeated motions and activities such as running and jumping. One of its bones may separate from the others, causing dislocation (complete separation), or subluxation (partial separation). If ligaments become damaged, this can result in a sprain. Other conditions that may cause pinky toe pain include tailor’s bunions (a bunionette that forms on the outside of the pinky toe), or deformities such as hammer toe, claw toe, or overlapping pinky toe. Any chronic pain, swelling, or malformation in your pinky toe should be diagnosed by a podiatrist, followed by an appropriate course of treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Ian Klein, D.P.M from Florida. Dr. Klein will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Read more about Foot Pain

The tarsal tunnel is a narrow passageway on the inside of the ankle that is made of a thick band of fibrous tissue (flexor retinaculum) and ankle bones. Veins, arteries, muscles, tendons, and the tibial nerve pass through the tarsal tunnel. Certain conditions such as a ganglion cyst, nerve sheath tumors, fibrosis, and even injuries can tighten the already-narrow space within the tunnel and compress the tibial nerve. This can cause burning pain or tingling (paresthesias) along the tibial nerve, the inside of the ankle, or bottom (plantar) part of the foot. If you are experiencing this type of discomfort, contact a podiatrist. They will perform a physical examination and may suggest that an MRI be performed to visualize lesions that may be present within the tunnel. Both conservative and surgical treatments will be considered depending on the cause and severity of the condition and will focus on reducing pressure on the nerve and relieving pain.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Tarsal Tunnel Syndrome
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