Toenail Fungus
Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.
The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.
Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.
Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.
Symptoms and Risk Factors of Gout
Gout is caused by the accumulation of uric acid crystals in joints, often affecting the big toe. Gout is notorious for its intense pain, which frequently flares up at night. Although commonly associated with men over 45, gout can develop in anyone at any age. This arthritic condition stems from the body’s inability to adequately process purines, which are natural substances found in the body. This inability results in the formation of uric acid. When uric acid levels become elevated, sharp urate crystals form and deposit in joints, leading to inflammation, swelling, and excruciating pain. While the big toe is a frequent target, gout can affect any joint and often strikes suddenly, even disrupting sleep with its severity. Dietary factors play a significant role in gout development, with diets high in red meat, seafood, and fructose-containing beverages increasing the risk. Alcohol consumption and obesity also increase susceptibility to gout. Symptoms can include agonizing pain, swelling, warmth, and redness at the affected joint, which may last up to a week before subsiding. Gout is not curable, but it can be managed with the help of lifestyle and dietary changes and treatment from a podiatrist. If you suffer from the symptoms of gout, it is suggested that you are under the care of a podiatrist who is medically trained to manage this ailment.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain – Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort – Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion – May experience a decrease in joint mobility
Risk Factors
- Genetics – If family members have gout, you’re more likely to have it
- Medications – Diuretic medications can raise uric acid levels
- Gender/Age – Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet – Eating red meat and shellfish increases your risk
- Alcohol – Having more than two alcoholic drinks per day increases your risk
- Obesity – Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms–including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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.
Osteoarthritis in the Big Toe
Osteoarthritis, or OA, in the big toe is medically referred to as hallux rigidus. This progressive and degenerative condition is characterized by the breakdown of cartilage at the first metatarsophalangeal, or MTP, joint. As the cartilage in the MTP joint deteriorates, the bones rub together, causing pain, swelling, and stiffness. This discomfort in the big toe often leads to difficulty in bending the toe, and affects mobility and everyday activities, like walking. Furthermore, OA in the big toe can worsen other foot conditions, such as bunions, corns, calluses, and hammertoes. This may further complicate movement and cause additional discomfort. Treatment options for OA in the big toe start with conservative methods, such as pain management and custom orthotic devices. In more severe cases, surgical intervention may be suggested, depending on the severity of the condition and the patient’s individual needs. Seeking prompt medical attention from a podiatrist is important for diagnosing and managing hallux rigidus effectively, as early intervention can help to alleviate symptoms, improve mobility, and enhance overall quality of life for individuals affected by this condition. If you believe you may have osteoarthritis that is affecting the big toe, it is suggested that you schedule an appointment with a podiatrist.
Toe pain can disrupt your daily activities. If you have any concerns, contact Anthony Ricciardi Jr., DPM of Foot & Ankle Specialists of Nevada. Our Doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Toe Pain
Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures.
Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.
How Do I Know if My Toe Is Broken?
A broken toe, a common injury often overlooked, presents a set of distinct symptoms that warrant attention for prompt diagnosis and care. Persistent pain, swelling, and bruising around the affected toe are primary indicators of a fracture. The injured toe may appear misaligned or take on an unusual shape, signaling structural damage. Limited range of motion and difficulty bearing weight on the foot are common challenges experienced with a broken toe. In some cases, a noticeable snapping or popping sound may accompany the injury, indicating the moment of impact or trauma. If you suspect a broken toe, it is essential to seek medical attention for a thorough examination and possibly imaging studies, such as X-rays. Understanding and recognizing these symptoms can expedite the healing process, ensuring proper care and preventing complications associated with untreated broken toes. If you have broken your toe, it is suggested that you confer with a podiatrist who can confirm the diagnosis and offer correct treatment options.
Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will treat your foot and ankle needs.
What Is a Broken Toe?
A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.
Symptoms of a Broken Toe
- Swelling
- Pain (with/without wearing shoes)
- Stiffness
- Nail Injury
Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.
If you have any questions, please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Read more about What to Know About a Broken Toe
What to Know About a Broken Toe
The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.
Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.
Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.
If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more.
Choosing Appropriate Footwear for Restaurant Workers
Selecting the right shoes for restaurant employees is paramount, considering the unique demands of the hospitality industry. Restaurant staff, who often spend long hours on their feet, require comfortable and supportive footwear to navigate the dynamic environment effectively. Slip-resistant shoes are essential, minimizing the risk of accidents in busy kitchens and dining areas. Opt for closed-toe styles to provide additional protection and prevent spills or sharp objects from causing harm. Comfort is key, so shoes with cushioning and arch support help alleviate the stress on the feet during extended shifts. Furthermore, choosing shoes made from breathable materials can enhance comfort and reduce the likelihood of foot-related issues. By investing in appropriate footwear, restaurant employees not only prioritize their foot health but also contribute to a safer and more efficient working environment. If you are working at a restaurant, it is suggested that you confer with a podiatrist who can provide you with specific information on the type of shoes to purchase.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Anthony Ricciardi Jr., DPM from Foot & Ankle Specialists of Nevada. Our Doctor will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
If you have any questions please feel free to contact our office located in Las Vegas, Nevada . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Read more about How to Handle a Long Work Day on Your Feet
How to Handle a Long Work Day on Your Feet
In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.
If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.
Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.
You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.
Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.
Do You Suffer From Painful Feet?
Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!
