Lumps on your feet can be irritating especially after a long day of work. There are many reasons you can have this, depending on the position of your lump, how firm it is can change your diagnosis. If the bump is on the bottom of your foot, it can be a plantar fibroma. FIbromas are typically a benign tumor that is firm and become irritated after walking for a long distance. They grow on a band of tissue called the plantar fascia.
Diagnosis is done by your podiatrist. It involves a thorough history and physical and depending on the size, X-rays or MRIs may become necessary. Conservative treatment consist of shoe modifications and orthotics. Sometimes, injections may be necessary. If that fails, then surgery will be considered. It is done on an out patient basis but has the possibility of recurring.
Ingrown toenails are a common foot problem in both children and adults alike. They are usually caused when the corners of the nail grow incorrectly and penetrate the skin. Some cases can cause extremely minor pain, however, if they are left unattended then they can get infected. The toe can appear swollen and red like in gout or even leak yellowish pus in extreme cases of toenail infection.
Ingrown nails are typically caused by repeated trauma to the nail. It can happen to athletic people who are stepped on often while playing sports or it can be caused by simply wearing shoes that are too small or are too pointy for your feet. Patients that cut their own nails may be doing it improperly thus causing the toenail to grow incorrectly causing it to become ingrown. To prevent ingrown nails it is always a good idea to wear sheos with a wider toebox and cut your nails straight across instead of an angle.
The painful lesion you may have at the bottom of your foot is known as a wart but the scientific term is a verruca vulgaris. They are usually caused caused by a viral infection of the skin. This occurs as a result of direct contact with the virus. Contact usually happens in dirty areas such as locker rooms. If your feet are typically sweaty, you can be predisposed to getting a wart.
Warts can be extremely painful, but they’re often times confused for a callus. The main difference between the two is that warts are painful when pinched and with direct pressure whereas calluses only hurt with direct pressure. Warts also tend to cluster in a mosaic pattern and small pinpoint redness can be seen.
Treatment of your wart can be done in the office. Usually, over-the-counter medications have a difficult time penetrating the thick skin on the bottom of the foot, so they do not work well in this area. Your podiatrist’s treatment usually consists of burning the wart with topical acids, freezing with liquid nitrogen, laser surgery or surgical removal. All methods have the possibility of the wart coming back. Surgical excision of the wart has the highest success rate with a relatively low rate of recurrence. There is some mild discomfort with this procedure and it takes several treatments over weeks for the area to completely heal depending on the severity. You activity is usually not affected by the treatment.
Onychomycosis or fungal nails affect about 10-15% of the American population. It is also very common for patients who have diabetes. Although the condition is not fatal, fungal nails can be unsightly and uncomfortable. Toenail fungus can happen for many reasons, sometimes it is due to genetics, other times it can be because of standing in unclean public places without protection.
There are a few different way to treat nail fungus, but the most effective is nail laser. There are no adverse side effects to nail laser treatment as it uses a focused laser to treat only the unsightly fungus without hurting the healthy tissue. Laser treatment is better than orals due to the lack of side effects and is more effective than topical nail solutions. Nail laser is a quick, painless, in-office procedure and usually lasts about 5 minutes.
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