Items filtered by date: September 2018

Tuesday, 18 September 2018 19:04

Onychomycosis: Fungal Toenails

Fungal toenails, also known as onychomycosis, is the most common infection of the nail. When infected, nails become thickened, have a yellowed or whitened discoloration and may be difficult to cut. Nails may become so thickened that they are unable to be cut with traditional nail clippers. Fungal nails may be so dystrophic that they can become ingrown and become infected.

Onychomycosis is an issue more commonly seen in older individuals. Men are more likely to present with fungal nails than women, and diabetics also tend to be more susceptible to this problem. About 30-60% of fungal nails may originate from Tinea Pedis from the surrounding skin. Repeated nail trauma is a also a risk factor because trauma can lead to keratin accumulating underneath the nail, creating a moist, warm environment for the fungus to grow. Humidity and exposure also play a role in fungal infections.

There are many treatments for the care of fungal nails.  If only one or two nails are involved, nail avulsions may be appropriate to try and eradicate the infection and allow for a new healthy nail to grow back. There are multiple topical anti-fungal medications that come in cream, solution, or lacquer forms. Topical treatment is indicated for mild cases, usually when less than half the nails are affected. Depending on the severity of the condition and patient’s overall health, oral medication is also available as a form of treatment. With oral antifungals, liver tests usually must be ordered before and during the medication regiment. Your podiatrist may want to take a sample of affected nails to determine what kind of infection the nail is undergoing. Call your podiatrist today if you have questions or concerns about fungal nails and the treatment options available.

Please visit our websitefor more information or call 614-885-3338 (FEET) to schedule an appointment with us at our Columbus or Gahanna office

Tuesday, 18 September 2018 19:03

Facts About Tendonitis

When you overuse a set of muscles, you’re likely to strain the tendons, which are soft tissue structures that connect muscle to bone.  The strain may cause a tendon’s sheath to swell or the fibers to separate and pull apart. At the beginning, pain and swelling may be intermittent and resolve quickly. If the muscle group continues to be stressed without time to recover, damage to the tendons accumulates leading to the development of tendonitis and ultimately tendonosis. Over time, the pain and swelling may limit physical activity. At first you may feel pain only during or after a workout, but eventually, as the damage accumulates, your feet may hurt when just simply walking or standing.

A common area of tendonitis is at the back of the heel, where the Achilles tendon of the calf muscle inserts into the heel. With Achilles tendonitis, pain may occur when your foot hits the ground or when the heel lifts off the ground. With insertional Achilles tendonitis, first steps may elicit an achy pain, pain may be worse when going up an incline and there may be irritation where the back of the heel makes contact with a shoe.

Treating tendonitis begins with controlling the pain and swelling. Ice and rest would be first line treatment as ice prevents swelling and reduces pain and rest allows time for tissues to heal.  If left untreated, tendonitis may predispose you to further injury such as a tendon rupture. Your podiatrist may prescribe anti-inflammatory medications, steroids or topical anti-inflammatories. Orthotics or bracing may be recommended to immobilize the area or reduce stress to the area. Your podiatrist may recommend a stretching regimen or physical therapy to help relieve tension on the tendon. If tendonitis symptoms persist, injections may be offered to reduce pain. Surgical treatment is reserved for only chronic cases but may involve debridement of the tendon itself, release of adhesions, or removal of bony spurs. Call your podiatrist today if you have questions or concerns about tendonitis.

Please visit our website for more information or call 614-885-3338 (FEET) to schedule an appointment with us at our Columbus or Gahanna office

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