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Managing Ingrown Toenails

Ingrown toenails, a common foot issue, occur when the nail's edge grows into the surrounding skin, leading to redness, swelling, and pain. This condition often affects the big toe and can result from improper nail trimming, wearing tight footwear, or injury. In cases where pain intensifies, or infection signs like pus and increased swelling appear, it is wise to consult a podiatrist. A podiatrist can assess the severity and recommend treatments based on individual needs. They may lift the nail to relieve pressure, or in more severe cases, remove part of the nail to prevent further issues. They might also suggest preventive measures, such as proper nail-cutting techniques, footwear advice, and orthotics if foot structure contributes to the problem. If you suffer from an ingrown toenail, it is suggested that you get prompt podiatric care to alleviate pain and help prevent recurring ingrown nails and potential infections.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors 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 one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Do Heel Spurs Go Away?

Heel spurs are bony growths that form on the underside of the heel bone, often due to repeated stress on the foot. They develop over time as calcium deposits build up in response to strain, particularly in the plantar fascia, which is the ligament connecting the heel to the toes. Many people with heel spurs feel a sharp, stabbing pain in the heel, especially when taking their first steps in the morning or after prolonged sitting. Heel spurs are common among runners, people who are overweight, and those with flat feet or high arches. While they do not disappear, symptoms can be managed effectively. A podiatrist can recommend treatments such as orthotic devices, targeted exercises, anti-inflammatory medications, or cortisone injections to relieve pain. In severe cases, surgical removal may be considered. If you have pain from a heel spur, it is suggested that you schedule an appointment with a podiatrist for care.

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 one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors 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 North Andover, and Tewksbury, MA . We offer the latest in diagnostic and treatment technology to meet your needs.

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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!

Sever’s Disease in Kids

Sever's disease, or calcaneal apophysitis, is a common cause of heel pain in growing children, typically between ages eight and 14. It occurs when the growth plate in the heel bone becomes inflamed due to repetitive stress, often from sports or activities that involve running and jumping. Symptoms include heel pain, tenderness, and swelling, particularly after physical activity. The discomfort may worsen when walking or standing on tiptoes. Diagnosis is based on a clinical examination, medical history, and occasionally imaging scans to rule out other causes. Treatment focuses on reducing pain and inflammation through rest and targeted stretching exercises. In some cases, custom orthotics or heel cups may be prescribed by a podiatrist to provide cushioning. Most children recover fully with proper management, and the condition resolves once the heel bone finishes growing. If your child complains of persistent heel pain, is limping, or avoiding walking, it is suggested that you visit a podiatrist for a proper diagnosis and relief options.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

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The Effects of Fabry Disease on the Feet

An unusual systemic condition that can affect the feet is Fabry disease, a rare genetic disorder that impacts the body's ability to break down a specific type of fat. This leads to the buildup of fat in various organs, including the skin, nervous system, and kidneys. In the feet, Fabry disease often causes painful burning sensations or tingling, particularly in the soles and toes, due to nerve damage, or peripheral neuropathy. These symptoms can be triggered or worsened by physical exertion, stress, or changes in temperature. Additionally, people with Fabry disease may experience decreased sweating, which can lead to dry, cracked skin on the feet, making them more prone to infections. Because Fabry disease affects multiple systems in the body, it requires careful management by specialists. If you suffer from Fabry disease or have these types of foot symptoms, it is strongly suggested that you consult a podiatrist for early intervention and control of foot problems to prevent long-term damage.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Treatment of Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition caused by compression of the posterior tibial nerve as it passes through the tarsal tunnel, a narrow channel inside the ankle. This compression can result in pain, tingling, or numbness in the foot, particularly in the arch, heel, or toes. Some individuals may also experience a burning sensation or shooting pain. Diagnosis is typically made through a physical examination, where a doctor may apply pressure to the affected area to elicit symptoms. Imaging tests, such as MRI scans, ultrasounds, or nerve conduction studies can also be used to assess the extent of the nerve compression. Treatment varies depending on severity. If symptoms persist, steroid injections or surgery to release the compressed nerve may be necessary for long-term relief. If you feel pain, tingling, numbness, or burning on the inside of your ankle, it is strongly suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors 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 one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome

Plantar Fasciitis Relief

Plantar fasciitis is a common foot condition that causes heel pain, often most noticeable with the first steps in the morning. It occurs when the thick band of tissue connecting the heel bone to the toes becomes inflamed due to overuse, strain, or repetitive impact. Common in runners, individuals who stand for long periods, and those with flat feet or high arches, plantar fasciitis can cause sharp, stabbing pain in the heel or arch, especially after rest or prolonged activity. Relief focuses on reducing inflammation and relieving stress on the fascia. This can be achieved by resting and wearing supportive footwear or orthotic inserts. Anti-inflammatory medications and targeted stretching exercises may also be prescribed. In more severe cases, corticosteroid injections or, rarely, surgery may be needed to alleviate symptoms and promote healing. If you have persistent heel and arch pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and relief options.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Foot Health Center of Merrimack Valley. Our doctors 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 one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis

Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

How Diabetes Affects the Feet

Diabetes can significantly impact foot health, primarily through a condition known as diabetic neuropathy. This occurs when high blood sugar levels damage the nerves in the feet, leading to symptoms like numbness, tingling, and pain. In severe cases, diabetic patients might experience a loss of sensation, making it difficult to detect injuries or infections. Additionally, poor circulation can slow down healing, which increases the risk of ulcers and infections. Proper management of blood sugar levels is key to preventing these complications. Regular foot inspections, wearing proper footwear, and daily foot care can help mitigate the effects. Treatment often involves managing diabetes effectively, controlling pain with medications, and in some cases, foot exercises. To ensure optimal foot health and address any concerns, it is suggested you schedule an appointment with a podiatrist for specialized care and preventive strategies tailored to your needs.
 

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 one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors 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 North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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How Foot Biomechanics Impact Foot Health

The foot and ankle consist of 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments, forming a complex structure that provides support, balance, and mobility. Key joints include the ankle joint where the tibia, fibula, and talus meet, the subtalar joint allowing side-to-side motion, and the midfoot joints, which contribute to arch flexibility. Biomechanics of the foot and ankle are critical, as they impact walking, running, and overall posture. Improper alignment or function in these joints can lead to issues like plantar fasciitis, tendonitis, or osteoarthritis, affecting movement and increasing stress on the knees, hips, and lower back. Proper foot care, wearing supportive footwear, and orthotics can help maintain good biomechanics, reduce pain, and prevent injuries. It is suggested that you include regular check-ups with a podiatrist in your health care routine to catch potential problems early, ensuring long-term foot health.

If you have any concerns about your feet, contact one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about The Importance of Biomechanics in Podiatry
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