Dr. Theall's Blog
By Bruce Theall, DPM (Gentle Touch)
March 19, 2020

Gentle Touch Foot Care has been closely monitoring information and recommendations from the CDC and NJ Department of Health about the COVID-19, Coronavirus. Even before the outbreak, our medical staff already used standard infection control practices.

In accordance with current guidelines and recommendations, we have put extra protocols in place to reduce risk to our patients and medical staff members.

  • We ask that any patient or family member, that displays symptoms such as cough, fever, shortness of breath, to reschedule appointments until they are free from symptoms for at least 24 hours. We ask this of our medical staff members as well.
  • We are requiring all patients and visitors to use the hand sanitizer located outside our office door before entering the office.

CDC recommends to take everyday precautions to prevent the spread of respiratory illnesses, including COVID-19 and influenza, by doing the following:

  • Cover your coughs and sneezes with a tissue and then throw the tissue in the trash.
  • Wash your hands often with soap and water for 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer that contains at least 60% alcohol.
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Clean and disinfect surfaces that are often touched.
  • Take care of your health overall. Staying current on your vaccinations, including flu vaccine, eating well and exercising all help your body stay resilient.
  • Consult the CDC’s travel website for any travel advisories and steps to protect yourself if you plan to travel outside of the US.

For more information, check out the following:

Sincerely,

Dr. Bruce Theall

By Bruce Theall, DPM (Gentle Touch)
March 16, 2020
Category: Foot Care
Tags: proper pedicure   bacteria   fungus  

Is this your first pedicure — or has it been years since your last visit to the nail salon? If the answer is “yes,” we’ve got you covered. A fungal toenail is a common condition, and improper pedicure hygiene is one of the causes. Look no further because the doctors at Gentle Touch Footcare have a few suggestions that can help you choose the right salon and walk away fungus free. 

Keep it clean

Don’t hesitate to visit a nail salon before making an appointment. Take a look around, noting sanitizing products, a clean workspace, gloves, and other standards that may be on your checklist. From the receptionist desk area to the pedicure station, cleanliness is important. Ask your friends, neighbors or co-workers if they know anything about the salon of your choice. Word of mouth is one of the best ways to determine how a salon is perceived by the community.

Wait until you’re healed

If you have a fresh cut or an irritated ingrown toenail, it’s best to avoid time at the nail salon. By exposing these cuts to a new environment, you’re at risk of bacteria entering your wounds and potentially causing an infection. Let your cuts heal. Trust us, you will have a much more enjoyable experience.

Beware of shared materials

If you’re provided a pair of flip-flops after your pedicure, they should be a brand-new pair. If you are using a warm towel for a foot massage, your towel should be for your use only. Shared materials are a quick way to pass along a fungal infection. It also is a great idea to bring in a pair of clean flip-flops to avoid taking any chances.

This season, don’t take your foot health lightly. Stay vigilant — even when relaxing during your first pedicure. Once you’ve done your research, sit back and enjoy it. Make an appointment with our doctor, Bruce Theall, DPM if you are concerned about your toenails. Call us today at 973-673-3668. Our office is located at 310 Central Avenue East, Orange, NJ, 07018.

By Bruce Theall, DPM (Gentle Touch)
March 02, 2020
Category: sports injury

Are you ready for the spring sports season? It’s an exciting time for both fans and athletes, but it can also cause a bit of stress if you’re unprepared. For parents, this means new gear, including shoes. For adults, taking the time to assess overall health is an important check-list item, too. Each season, the doctors at Gentle Touch Footcare see patients with sports injuries. Accidents happen while on the field or the court, but there are ways to prevent common conditions that lead to foot and ankle pain. 

My child is new to playing sports. Where do I start?

Children are constantly growing and developing, and this includes the many changes happening to their feet and ankles. Additionally, many childhood foot conditions go unnoticed or are easily dismissed as growing pains. Before signing your child up for a sport, it’s best to visit a podiatrist for an exam. This is a great time for parents to share any foot issues they have experienced, as some foot conditions are inherited.

My child already has a pair of running shoes. Is that OK?

Running shoes are great, but they don’t meet the demands of every sport. Each sport requires a different kind of shoe and wearing the wrong shoe can increase chances for an injury.

I still want to play sports, but my foot pain has increased during adulthood.

Pain is not something that you should ignore, even if you believe age brings on a few aches and pains. Staying active has many benefits, so schedule an appointment with a podiatrist to learn more about the cause of your pain. You may have an injury that didn’t fully recover, undiagnosed diabetes or a form of arthritis. Custom orthotics can help.

From youth to seniors, playing sports has great benefits. Make an appointment with our doctors, Bruce Theall, DPM, and Priscilla Seshie, DPM; let our team help you perform your best during this season. Call us today at 973-673-3668. Our office is located at 310 Central Avenue East, Orange, NJ, 07018.

By Bruce Theall, DPM (Gentle Touch)
February 17, 2020
Category: nail fungus

No one wants fungal toenails in the summer, but did you know that you are still at risk during the colder months? Fungus thrives in warm, moist areas, and it may look a bit different during the winter. If you don’t air out those rain boots after walking in the cold rain, you may be more at risk of developing a fungal infection than you think. To get you ready for the warmer weather, the team at Gentle Touch Footcare has some answers on how to identify and treat a fungal toenail.

What does it mean if you are diagnosed with a fungal toenail infection?

Foot fungus has come in contact with your feet, particularly in or around your toenails. With this infection, you can pass this nuisance along to others. Until you have been cleared by a podiatrist, be sure to avoid sharing hygiene items such as clippers or switching shoes.

Who is at risk?

Here are the top risk factors for developing this condition:

  • People who practice poor foot hygiene
  • People who walk barefoot in common, public areas
  • People who are over the age of 65
  • People who have diabetes
  • People who have excessively sweaty feet
  • People who have a damaged toenail due to trauma

What can I do to prevent this condition?

  • Allow your shoes, socks, and feet to thoroughly dry
  • Wear clean, dry socks
  • Do not share hygiene items
  • Wash, dry and inspect your feet daily

How do you treat a fungal toenail?

Before treatment, it is best to confirm your diagnosis with a podiatrist. After receiving a diagnosis, here are your options:

  • Having a podiatrist regularly trim the infected toenail
  • Using over-the-counter or prescription creams
  • Taking prescription-strength oral medications
  • Learning more about laser therapy

Take early action at the sight of fungal toenail infection. To be certain of your diagnosis, make an appointment with Bruce Theall, DPM. Call today at 973-673-3668. Our Essex County office is located at 310 Central Avenue East, Orange, NJ, 07018.

 

By Bruce Theall, DPM (Gentle Touch)
January 28, 2020
Category: Diabetes
Tags: poor circulation   PAD  

One of the ways that diabetes impacts your feet is by causing decreased circulation. This becomes dangerous, as poor circulation decreases the amount of time it takes to heal wounds like ulcers (which commonly affect people with diabetes). Peripheral arterial disease (PAD) is the condition that describes this symptom. As the team of doctors at Gentle Touch Footcare works with patients who have diabetes, knowing risks and prevention tips is a big part of the conversation. Here are some commonly asked questions about the condition:

What causes PAD?

Most commonly, the cause of peripheral arterial disease is another disease: atherosclerosis. In short, atherosclerosis is a result of plaque building up in a patient’s arteries. This condition typically affects the arteries in your legs, but it can also impact other areas.

Are there behaviors that increase my chance of developing PAD?

Elderly patients commonly develop this condition because the plaque buildup has progressed over time. Other risk factors for developing this condition include, among others:

  • Diabetes
  • Hypertension
  • Smoking
  • Cardiovascular disease
  • Alcoholism
  • Poor diet
  • Family history
  • Overweight
  • High cholesterol

Are there symptoms of this condition?

If you notice any changes to your legs or feet, we always recommend that you schedule an appointment with our office. Symptoms include:

  • Feeling cold and having discolored feet or legs
  • Non-healing wounds on the feet or legs
  • Following exercise, pain in your legs or feet (relieved during rest)
  • Lessened or absent foot pulses
  • Pain in your legs and feet while resting in the bed

If I have the above symptoms, what’s next?

We will recommend that you take a PAD vascular test. We have state-of-the-art testing procedures, and the test is painless and done in less than 30 minutes.

Early detection of PAD can reduce your chances of conditions that can eventually result in amputations. Make an appointment with our doctors, Bruce Theall, DPM, and Priscilla Seshie, DPM, to allow us to perform a test. Call us today at 973-673-3668. Our office is located at 310 Central Avenue East, Orange, NJ, 07018.





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