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Tuesday, 05 December 2023

Treating Your Child’s In-Toeing

Most people's feet typically point straight ahead or outward, but some children develop a condition known as in-toeing, where the feet point inward which is often referred to as pigeon toes. In-toeing is a common phenomenon in young children, and while it often corrects itself with time, some cases require attention and treatment, based on the underlying cause. Internal tibial torsion is one cause of in-toeing, and most doctors refrain from prescribing treatment for young children with this condition. Braces and special shoes are generally ineffective and rarely used due to their expense and children's reluctance to wear them. Surgical correction is only considered in cases where the twist in the tibia is severe and appearance becomes a concern. Excess femoral anteversion, another cause of in-toeing, typically improves on its own as children age. Braces or shoe modifications are generally not effective, and surgery is only considered in very severe cases where the inward twist of the thigh bone is significant. Metatarsus adductus, characterized by a curved foot shape, may involve stretching exercises or the use of casts or braces for more severe cases. Fortunately, any residual curvature post-treatment does not impede a child's ability to run and play, and it is not painful. If your child’s in-toeing seems to be problematic, it is suggested that you schedule an appointment with a podiatrist who can determine what the best treatment is.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Pennsylvania. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 28 November 2023

Pain Caused by Sesamoiditis

Sesamoiditis causes pain beneath the big toe and is often exacerbated by weight-bearing and specific footwear choices. The two tiny sesamoid bones, located just below the big toe, are integral to foot locomotion. They can be affected by direct trauma or positional changes, especially in individuals with high-arched feet, bunions, or those who wear high heels. For dancers, joggers, and those individuals with certain foot structures, the discomfort associated with sesamoiditis can be particularly challenging. Diagnosis by a podiatrist relies on examination of the toe, and determining range of motion. Other tests, such as synovial fluid analysis and X-rays, may be used to exclude infection and fractures. Pain from sesamoiditis is often intensified by walking and may involve inflammation, warmth, and swelling around the 1st metatarsophalangeal, or MTP, joint. Footwear modification and custom orthotics can play a pivotal role in managing symptoms. Wearing thick-soled shoes may also help alleviate sesamoid pressure. In cases where a sesamoid fracture without displacement is identified, treatment involves immobilizing the joint with a flat, rigid, surgical shoe. For help with pain resulting from sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Pennsylvania. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

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Managing persistent foot pain or deformities can be challenging, often prompting the consideration of foot surgery when conservative treatments prove ineffective. In such cases, surgery becomes a viable option. Bunions, or hallux valgus, can be surgically managed when conservative treatments fail to alleviate pain and hinder day-to-day functioning. Similarly, hammertoes may necessitate surgery when they become rigid and painful, causing issues such as inflammation and open wounds. Metatarsal surgery addresses various foot issues caused by conditions like rheumatoid arthritis, fractures, and dislocated joints. Ankle osteoarthritis, marked by symptoms such as pain, stiffness, and swelling, may require surgical intervention. Achilles tendon disorders, including tendonitis, may prompt surgery consideration. Morton's neuroma, characterized by nerve thickening between the third and fourth toes, might necessitate surgery for those unresponsive to non-surgical management. Posterior tibial tendon dysfunction, or adult-acquired flatfoot, may require surgical intervention as symptoms worsen, aiming to restore the function of the posterior tibial tendon and support the arch. Foot surgery is generally considered a last resort, but it can be a consideration when conservative treatments no longer provide relief for persistent foot pain or deformities. It is suggested that if you are suffering from continual foot, toe, or ankle pain that you schedule an appointment with a podiatrist to determine whether surgery is the appropriate course of action for you. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Pennsylvania. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Read more about Foot Surgery
Tuesday, 14 November 2023

Managing Stubborn Toenail Fungus

Toenail fungal infections, medically known as onychomycosis, can lead to brittle, crumbly, or ragged nails, and even separation of the nail from the nail bed. While completely curing toenail fungus can be challenging, there are effective treatments available to manage the condition. Toenail tissue is harder and thicker, which prevents antifungal creams from penetrating effectively. Even antifungal drugs taken in pill form have limited success, because toenails grow slowly and have low metabolic activity. Prescription topical products, in the form of clear lacquers, applied directly to the toenails may take up to a year to produce noticeable results, even if applied daily.  For more severe infections, oral medications taken daily in pill form for approximately three months may have a higher rate of success, potentially about 80 percent. However, they can cause side effects such as stomach upset, diarrhea, and, in rare cases, liver damage. Laser treatments, a relatively new approach to combating toenail fungus, penetrate the nail tissue to break down the fungus. Some studies have reported success rates ranging from 60 percent to 75 percent. For advice with toenail fungal infections, it is suggested that you make an appointment with a podiatrist.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Pennsylvania. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact one of our offices located in Plymouth Meeting and Ambler, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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