Dr. Theall's Blog
January 12, 2021
Category: Uncategorized
Tags: Untagged

Toenail fungus (onychomycosis) is an infection that lives underneath the nail, in the skin of the nail bed. It is an infection of the nail caused by fungi such as dermatophytes, non-dermatophyte molds and yeasts.

Some contributing factors that can increase the risk of developing toenail fungus include: Wearing closed-toe shoes. Getting pedicures with improperly sanitized tool. Having a chronic illness, such as diabetes or HIV. 

It is important to be evaluated by a podiatrist to appropriately diagnose nail changes. A piece of the nail is usually sent to a lab for evaluation of organisms for proper treatment. If the nail comes back fungal, the following options are available:

  1. Topical preparations in the form of a lacquer or solution applied to the nail plate. However, success is limited with this option. This option is best for a nail that is not completely affected by a fungus.
  2. Oral Lamisil. This is the most effective systemic therapy. This treatment is reserved for certain patients, which can be determined by your podiatrist if you are a candidate.
  3. Laser therapy. This usually improves effectiveness of topical preparations and can have a similar outcome to oral medication. Talk to your podiatrist for your options

Treatments will help your nail grow in healthy. Toenails, on average, require about 9-12 months for full re-growth. If you think you have a fungal infection in your nails, come get them evaluated at Gentle Touch Foot Care! Call today to make your appointment at 973-673-3668. Get your nails looking healthy again!

December 07, 2020
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Joe Biden was playing with his dog, Major, last week when he slipped and fell and injured his foot. When he went to get it checked out, x-ray showed no fractures. However with the severity and location of the pain, getting further imaging was not a bad idea. His CT scan, which shows the bones in great detail, proved to show that he did in fact have stress fractures in the foot. Luckily, a simple treatment of wearing a walking boot for a few weeks will do the trick!

Stress fractures are not always visible on x-ray depending on when the injury occurred.  Sometimes a fracture is only visualized in more advanced imaging such as CT scan or MRI. In order to see a stress fracture on x-ray, the bone will have had to start healing already, which takes 2-3 weeks to show up. At this point, a bone callus around the affected bone will be visible as clouded fuzzy area. However, if someone is in enough pain, getting advanced imaging to prove a stress fracture sooner will help with treatment.

Usually, stress fractures do not need surgical intervention. They require a stiff soled shoe or walking boot with weight bearing as tolerated for 6-8 weeks. In the event that a stress fracture gets worse and becomes a displaced fracture, it may then require surgical intervention to realign the bones. So, when in doubt, it is important to have your podiatrist examine any injury you endure to prevent any further complications!

Give us a call at Gentle Touch Foot Care to make an appointment!

November is National Diabetes Month. As we come to the end of the month, I think it is important to have a quick discussion regarding diabetes and the feet. Problems with the feet are very common, but diabetics have a higher likelihood of complications, especially if blood flow and sensation has been affected. A concerning complication of diabetes is limb loss. This is a real concern being that 50-70% of all non-traumatic amputations in the US are performed on diabetics. However, there are steps that can be taken to prevent this from occurring.

  • Do NOT walk barefoot.
  • Wear properly fitting shoes and break them in slowly to prevent blisters/sores.
  • Always thoroughly dry your feet, especially between the toes.
  • Do not pull loose pieces of skin off.
  • Wear clean socks daily and throw them away when they get old.
  • Keep toenails trimmed, but visit your podiatrist for evaluation and trimming as to avoid any problems.
  • Do NOT attempt to trim/cut your corns and calluses on your own. Avoid commercial wart/corn removers as they may be dangerous with the chemicals included.
  • Avoid smoking. This further constricts and negatively impacts blood flow to the feet.
  • Avoid extreme heat or cold as diabetics are not as sensitive to the temperatures and this can be dangerous.
  • MOST IMPORTANTLY, examine your feet daily, including between your toes. If you cannot do it yourself, have someone help you. Always call your podiatrist immediately with anything concerning, especially openings in the skin, EVEN IF YOU HAVE NO PAIN.

If you have any questions regarding diabetes or would like to make an appointment with the office for a Diabetic Foot Check, please do not hesitate to call. Call Gentle Touch Foot Care at 973-673-3668 to make your appointment today!

By Audrey Snell, DPM
November 04, 2020
Category: Uncategorized
Tags: foot health   dry feet   dryness   cracked skin   dry skin  

Dry and cracked feet are not only unsightly, but they can be uncomfortable. You may be experiencing dry “ashy” skin. Maybe you stand on hard surfaces all day. Perhaps you even fail to moisturize your feet like you do the rest of your body.

Whatever the cause may be, you want to return your feet to a smooth and beautifully moisturized state. Dry feet are something you can likely remedy at home with things you may already have! Here are a couple ideas:

1. Oils

Coconut oil is a new craze with cooking and other purposes. One thing it can be used for that you may not have thought of is healing dry and cracked feet. Wash your feet well before going to bed. Rub in some coconut oil and put on a pair of clean, cotton socks. Wash your feet in the morning and dry them well. You can do this for several days or until you are happy with the way your feet look. If you don’t have coconut oil, you can do the same thing with olive oil!

2. Gel Socks

Clean and dry your feet before you go to bed. Apply moisturizer to your feet and put on a pair of gel socks. Take your socks off when you wake up and wash your feet in warm water. You will repeat this for several days and the dry, rough skin will eventually peel away. These gel socks are available at our office!

3. Foot Scrub

Fill a tub with warm water and a bit of liquid soap. Soak your feet for 20 minutes and then scrub the dry areas with a pumice stone (Healthy Foot Bars available at our office!). Rinse your feet, dry, and apply your favorite moisturizer. Put on socks and go to bed. Do this every night until your feet are nice and soft.

4. Epsom Salt

A ½ cup of Epsom salt is all it takes. Use lukewarm water and soak your feet for 10 to 20 minutes. Scrub the dry areas of your feet with a pumice stone (Healthy Foot Bars available at our office!) and then soak in Epsom salt and water for another 10 minutes. Dry your feet. Repeat this every day for up to three days for incredibly soft feet.

If these home remedies don’t help your feet out to your liking, you may want to make an appointment with Gentle Touch Foot Care for further evaluation and more suggestions!

By Audrey Snell, DPM
November 04, 2020
Category: Uncategorized
Tags: bunion   Kardashian   six   toes   extra   kim   tailor's   bunionette  

There were rumors that Kim Kardashian has a SIXTH TOE on her left foot! This is always a possibility; however, it is nothing but a tailor’s bunion. Kim won’t be paying extra for her pedicures after all!

 

What is a Tailor’s bunion?

A tailor's bunion, also called a bunionette, is a prominence of the fifth metatarsal bone at the base of the little toe.

It is usually caused by a biomechanical instability in the foot – the way that you walk. The fifth metatarsal bone starts to move outward, while the little toe moves inward. This creates a bump on the outside of the foot.

More rarely, a tailor’s bunion can be an outgrowth of bone on the side of the fifth metatarsal head.

Regardless of the cause, the symptoms of a tailor’s bunion are usually aggravated by wearing shoes that are too narrow in the toe, producing constant rubbing and pressure.

It is easily diagnosed because the protrusion is visually apparent. X-rays may be ordered to help the foot and ankle surgeon determine the cause and extent of the deformity.

 

Treatments include wearing shoes that are wider in the toe box, padding the area, NSAIDs and icing with possibly a cortisone injection to reduce inflammation, and orthotic devices to control the biomechanics of your foot to prevent the deformity from worsening.

 

Surgery is often considered when pain continues despite conservative treatment. There are different surgeries that can be performed depending on the case.

 

For more information and for an evaluation of your feet, give the office a call to make an appointment! 

973-676-3668

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