Roy A. Rothman, DPM, PA
Podiatric Medicine and SurgeonFoot & Ankle Specialist
Ingrown toenails occur when the edge of a toenail grows into the surrounding skin, leading to pain, swelling, redness, and sometimes infection. The area may feel tender to the touch, appear swollen, or drain pus if an infection is present. Walking or wearing shoes can become uncomfortable. Common causes include trimming nails too short, wearing tight shoes, or having naturally curved nails. While mild cases may be managed at home, persistent or worsening symptoms require professional attention. A podiatrist can diagnose an ingrown toenail through a physical exam and determine the most effective treatment. Options include gently lifting the nail, partial nail removal, or treating any underlying infection. In severe or recurring cases, a small portion of the nail root may be removed to prevent regrowth. Prompt care can relieve pain and prevent complications. If you notice signs of an ingrown toenail, it is suggested that you make an appointment with a podiatrist.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Roy Rothman, DPM of Florida. 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
Prevention
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 our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.
An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.
Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.
People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.
Plantar fasciitis is a common foot condition characterized by inflammation of the thick band of tissue that runs along the bottom of the foot, connecting the heel to the toes. It often develops from training on improper surfaces, suddenly increasing athletic activity, or failing to properly warm up before exercise. Symptoms typically include sharp heel pain, stiffness in the arch, and discomfort that is usually worse in the morning or after periods of rest. A podiatrist can evaluate the condition, recommend stretching exercises, provide custom orthotics, and suggest footwear modifications to relieve pain and prevent recurrence. If you are experiencing persistent heel or arch pain, it is suggested that you promptly visit a podiatrist who can effectively treat plantar fasciitis.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Roy Rothman, DPM from Florida. Our doctor 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?
How Can It Be Treated?
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 our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.
There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.
People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.
Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.
If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.
If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!
Diabetic foot wounds can develop when nerve damage causes people to miss signs of pressure, cuts, or irritation on their feet. Poor circulation makes it harder for these wounds to heal, which increases the risk of infection. Wounds often appear on the toes, soles, or heels, especially in spots where shoes rub or pressure builds up from calluses or foot deformities. Because many people with diabetes do not feel pain in their feet, these wounds may go unnoticed and become worse, over time. A podiatrist can examine the wound, check blood flow, test for nerve damage, and provide care to prevent further injury. They can also help reduce pressure on the wound by recommending special footwear or in some cases, surgery. Without proper care, diabetic foot wounds can lead to serious infections and tissue or limb loss. If you notice foot or lower leg wounds that are not healing properly, it is suggested that you schedule an appointment with a podiatrist for safe and effective wound care.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Roy Rothman, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
If you have any questions please contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
The three arches of the feet support body weight and help absorb shock during movement. They are the medial and lateral longitudinal arches, which run from heel to toes, and the transverse arch, which spans across the midfoot. The medial arch is higher and more flexible, while the lateral arch is flatter and more stable. These arches are formed by the arrangement of foot bones and are supported by ligaments, tendons, and muscles, including the plantar fascia. The arches of the feet act like springs, allowing them to adapt to different surfaces and conserve energy when walking or running. When the arches are too flat or too high, problems like arch pain, heel pain, or pressure in the ball of the foot can result. A podiatrist can evaluate arch structure and function and prescribe orthotics or provide other treatment to improve comfort and mobility. If you are experiencing pain in the arch of the foot, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.
If you have any concerns about your feet, contact Roy Rothman, DPM from Florida. Our doctor 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
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 our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.
Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.
At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.
Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates. They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.
Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.
Mueller‑Weiss syndrome is a rare condition that affects the middle of the foot, but podiatrists are seeing it more frequently. It occurs when the navicular bone, located at the top of the arch, loses its blood supply and begins to collapse. This can lead to chronic foot pain, stiffness, and changes in the shape of the foot. Although the exact cause is not fully understood, it may be linked to abnormal foot structure, past injuries, or uneven pressure on the foot over time. Most patients are adults, often women in their forties to sixties, and the pain usually develops slowly. Because it can be mistaken for other foot issues, a proper diagnosis is important. Treatment may include custom orthotics, special shoes, targeted exercises, or surgery, in severe cases. If you have ongoing midfoot pain, a podiatric evaluation is suggested.
Some foot conditions may require additional professional care. If you have any concerns, contact Roy Rothman, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Rare Foot Conditions
The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.
There are many rare foot conditions that can affect children. Some of these can include:
Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.
Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.
Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.
A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.
If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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