Sunday, 03 December 2023 00:00

Heel Pain in the Morning?

Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.

Don’t live with heel pain and get treated.

Tuesday, 28 November 2023 00:00

Complications of Gout

Gout, a form of inflammatory arthritis, can lead to several complications if not properly managed. Chronic gout can cause persistent pain and swelling in the joints, significantly affecting mobility and quality of life. Over time, the buildup of uric acid crystals in the joints can lead to tophi, which are lumpy deposits that can be felt under the skin. These tophi can become inflamed or infected, causing further discomfort and complications. Repeated gout attacks can also lead to joint damage and deformity, particularly in the big toe, feet, ankles, and knees. This damage can be debilitating, leading to reduced joint function and chronic pain. Moreover, gout is often associated with other serious health conditions, including kidney stones as a result of excess uric acid. It can also increase the risk of cardiovascular diseases and chronic kidney disease. These complications underscore the importance of making an appointment with a podiatrist. If you have developed gout, it is strongly suggested that you are under the care of this type of doctor who can offer you relief and preventive options. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Gout
Tuesday, 28 November 2023 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Tuesday, 21 November 2023 00:00

Laser Treatment for Fungal Toenails

Fungal nail infections, medically known as onychomycosis, can be stubborn and challenging to treat. Traditional methods consisting of topical antifungal creams or oral medications may not always provide the desired results. In such cases, laser treatment for fungal nails has emerged as an alternative solution. Laser treatment, often referred to as laser therapy or laser fungal nail treatment, is a non-invasive procedure designed to target and eradicate the fungal infection in toenails or fingernails. During the procedure, a specialized laser emits a focused beam of light, which generates heat that penetrates the infected nail and the underlying fungal structures. This controlled heat effectively kills the fungus without causing damage to surrounding tissues. Laser treatment for fungal nails is considered a safe and efficient option, particularly for individuals who are reluctant to use or cannot tolerate traditional medications. If you have developed toenail fungus, it is suggested that you schedule an appointment with a podiatrist who can determine if laser treatment is right for you.  

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Neeta Hasmukh, DPM from Total Podiatry. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

  • Nail thickening
  • Brittleness of the nail
  • Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

If you have any questions, please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Laser Treatment for Fungal Nails
Tuesday, 21 November 2023 00:00

Laser Treatment for Fungal Nails

A new treatment for fungal nails, or onychomycosis, which has grown in popularity in recent years, is laser treatment. Laser treatment involves the use of a laser that kills fungus in the toenail with heat. Laser therapy causes no side effects and does not affect nearby healthy tissue.

Toenail fungus afflicts almost 10 percent of the U.S. population and is more common among the elderly. The most common symptom of toenail fungus is the discoloration and thickening of the nail. The nail can also become brittle and a foul smell may be produced. In rare cases, pain might be present. While it is not a serious condition, it can lead to a perception of disgust amongst those it affects. There are several different fungi that cause fungal infections. These include dermatophyte, yeast, and mold. The most common of these is dermatophyte.

Diagnosis for fungal nails involves a podiatrist utilizing microscopy and fungal cultures. This will allow the doctor to determine whether it is a fungus or another condition, such as lichen planus, psoriasis, nail damage, and onychogryphosis.

Fungus in the nails can be hard to get rid of with over-the-counter drugs. This is due to the nail being hard and protective, with fungus able to slip between the nail bed and plate. Furthermore the slow growth of the nail increases the difficulty of fungus going away. Laser treatment seeks to get around this by directly penetrating through the nail and killing the fungus. The laser is used on each infected nail for a couple of minutes. Patients then typically return several weeks or months later for another laser treatment. During this time the podiatrist will routinely observe the foot and infection. It is also recommended to wear clean socks and shoes and allow the feet to dry and breathe to prevent toenail fungus.

Laser treatment is still a relatively new treatment and not all podiatrists have laser machines. Ask your podiatrist if they do laser treatment for toenail fungus and if it is right for you.

Tuesday, 14 November 2023 00:00

Common Symptoms of Morton's Neuroma

Morton's neuroma, a nerve condition that affects the ball of the foot, can bring about discomfort and pain. Its symptoms are often distinctive and can be recognized with attention to detail. Individuals with Morton's neuroma may experience a sharp, burning, or tingling pain that radiates from the ball of the foot, typically between the third and fourth toes. This discomfort often feels as if there is a small pebble or an object inside the shoe, causing an irritation. It tends to worsen with weight-bearing activities, such as walking or standing and may improve with rest. Wearing tight, constrictive footwear can exacerbate the symptoms, making shoe choices essential for managing the condition. Additionally, some individuals may feel numbness in the affected toes, contributing to a sense of discomfort and imbalance. Swelling or a palpable mass at the base of the toes is occasionally noticed. Early recognition of these common symptoms is essential for timely diagnosis and appropriate treatment of Morton's neuroma, helping individuals find relief from their foot discomfort. If you have pain in this part of your foot, it is strongly suggested that you schedule an appointment with a podiatrist. This type of doctor can accurately diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor 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 offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Morton's Neuroma
Tuesday, 14 November 2023 00:00

Morton's Neuroma

Morton's Neuroma, also called Intermetatarsal Neuroma or Plantar Neuroma, is a condition that affects the nerves of the feet, usually the area between the third and fourth toe. Neuroma refers to a benign growth that can occur in different parts of the body. Morton's Neuroma strictly affects the feet. This condition causes the tissue around the nerves that lead to the toes becoming thick, causing pain in the ball of the foot.

This condition can be caused by injury, pressure or irritation. Normally no lump will be felt, but instead burning pain in the ball of the foot will be experienced. Numbness and tingling may also occur. With the onset of this condition, a person may feel pain when tight or narrow shoes are worn. As the condition worsens, the pain may persist for days, or even weeks.

Persistent foot pain should always be a concern. The foot should be examined by a podiatrist if pain persists longer than a few days with no relief from changing shoes. The earlier the foot is examined and treated, the less chance there will be for surgical treatment.

There are some factors that can play a role in the development of Morton's Neuroma. These include wearing ill-fitting shoes that cause pressure to the toes, such as high heels. Also, high impact exercise may contribute to the cause of this condition. Morton’s Neuroma may also develop if the foot sustains an injury. Another cause includes walking abnormally due to bunions or flat feet. This causes excessive pressure and irritates the tissue. At times, people are affected for no determinable reason.

Podiatrists can alleviate the effects of this condition using a treatment plan to help decrease the pain and heal the foot tissue. Depending upon the severity of the Morton's Neuroma, the treatment plan can vary. For cases that are mild to moderate, treatments may include applying padding to the arch to relieve pressure from the nerve and reduce compression while walking. Ice packs can also help reduce swelling. The podiatrist may also create a custom orthotic device to support the foot and reduce compression and pressure on the affected nerve. The doctor will probably advise against partaking in activities that cause constant pressure on the affected area. They may provide wider shoes to ease the pressure from the toes. If these treatments do not relieve the symptoms of this condition, the doctor may use injection therapy.

Surgical treatment may be recommended by the podiatrist if all other treatments fail to provide relief. Normally, the podiatric surgeon will decide on either a surgical procedure that involves removal of the affected nerve or will choose surgery to release the nerve. After examination, the surgeon will decide on the best approach to treat the problem.

Recovery varies according to the type of surgical procedure. The patient will also be instructed on the best shoe wear to prevent the return of this condition, along with changes to workout routines, if this was a cause. Preventative measures are important in ensuring the condition does not return.

An Achilles tendon rupture is a severe and painful injury that affects the Achilles tendon, which is the largest and strongest tendon in the human body. Located at the back of the ankle, this vital band of connective tissue plays a pivotal role in facilitating walking, running, and jumping. When it tears, it can lead to excruciating pain, a loud popping sensation, and the inability to bear weight on the affected leg. The injury often occurs during sports or physical activities that involve sudden, forceful movements. An Achilles tendon rupture is more common among individuals aged 30 to 40, particularly men. It is beneficial to seek immediate medical attention from a podiatrist who can properly diagnose and treat this painful condition. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries

Tendons are fibrous tissues that connect muscles with bone. The Achilles tendon is the largest tendon in the body. It connects the calf muscles at the back of the leg with the heel, and facilitates movements such as jumping, running, and walking. 

Because the Achilles tendon is engaged so frequently and bears a great deal of pressure and stress throughout the day, it can become injured. Achilles tendon injuries cause the tissue to become irritated, inflamed, and swollen. Pain can come on gradually or be immediate, and will vary from mild to severe depending upon the injury. Where the pain occurs will vary as well, from just above the heel up through the back of the leg. There may also be stiffness in the tendon.

Achilles tendon injuries can often be caused by repetitive stress. They may also occur while running, playing tennis, gymnastics, football, basketball, dancing, soccer, baseball or other sports that require speeding up, slowing down, or pivoting quickly. Wearing high heels, falling from an elevation, stepping in a hole, having flat feet, bone spurs, tight leg muscles or tendons, wearing improper athletic shoes, exercising on uneven surfaces, or starting a new type of exercise can also cause Achilles tendon injuries.

The two most common Achilles tendon injuries are tendonitis and rupturesTendonitis causes painful inflammation and can occur in different parts of the tendon. Non-insertional Achilles tendonitis occurs when the fibers in middle of the tendon begin to break down, thicken, and swell. This condition typically affects younger, more active adults. Insertional Achilles tendonitis occurs where the tendon inserts into the heel bone. It is common for bone spurs to form with this type of injury. This condition can affect people of any age and level of activity.

Achilles tendon ruptures are a tear in the tendon. These breaks may be partial or complete. There may be an audible popping noise at the moment of injury and the pain will be sudden and severe.

An Achilles tendon injury can be diagnosed by your podiatrist after they examine you, check your range of motion, and possibly perform a calf squeeze test or review an X-ray or MRI. Depending on the type and severity of your injury, your podiatrist may treat your condition with rest/ice/compression/elevation (RICE), nonsteroidal anti-inflammatory medications, heel lifts, and stretching and strengthening exercises. If you have torn your Achilles tendon, treatment may include physical therapy, ultrasound, shockwave therapy, or possibly even surgery.


 

Friday, 03 November 2023 00:00

Let the Expert Treat Your Ingrown Toenails

Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

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