My Blog
By Irving M. Luftig, BSC, DPM
December 07, 2018
Category: Foot Conditions
Tags: Sesamoid   Sesamoiditis  

What is Sesamoiditis?

Sesamoids are small bones that are only connected to tendons or surrounded in muscle. This only appears in a few places in the body, one of which is the foot. Two very tiny sesamoids are found in the underside of the foot near the big toe. One is on the outer side of the foot and the other bone is close to the middle of the foot. This structure provides a smooth surface for the tendons to slide over, which helps the tendons move muscles. They help with weight bearing and also help to elevate the bones of the big toe. So now that you know what sesamoids are, you might be wondering what sesamoiditis is and what its symptoms are.

Sesamoiditis

Just like any other bone, sesamoids can unfortunately fracture. The tendons surrounding the sesamoids may also become irritated or inflamed and this is what sesamoiditis is. Sesamoiditis is also a form of tendonitis and is a common condition among ballerinas, runners, and baseball catchers due to the pressure that is constantly placed on their feet.

Symptoms of Sesamoiditis

Symptoms of Sesamoiditis may include:

  • Pain under the big toe or ball of the foot
  • Swelling and/or bruising
  • Difficulty in bending and straightening the big toe

Treating Sesamoiditis

Treatments include:

  • Resting and stopping any activity that could be causing pain and inflammation
  • Anti-inflammatories, such as ibuprofen and aspirin only after consulting your physician
  • Icing the sole of the foot
  • Wearing soft-soled and low-heeled shoes
  • Cushioning inserts in the shoes

If symptoms persist after treatments, you may need to wear a removable brace for 4-6 weeks to help the bones heal. Call your podiatrist today to ask any questions about sesamoiditis and get on your way to pain-free feet once again!

By Irving M. Luftig, BSC, DPM
November 20, 2018
Category: Foot Care
Tags: Ingrown Toenail  

Ingrown toenails may begin mildly but can quickly go from bad to worse. This frustrating and painful condition can affect anyone and cause significant issues. Unlike other foot-related conditions, which are often due to genetics or underlying conditions, ingrown toenails are almost always preventable and often come from lifestyle choices like the type of shoes you wear or the way you trim your toenails.

Do I have an ingrown toenail?

Ingrown toenails are easy to spot if you know what to look for. The nail begins to grow inward, curling in on one or both sides of the toenail and digging into the skin. An ingrown nail may begin with mild pain and discomfort and end up advancing quickly, producing symptoms like severe pain, difficulty walking, or even infection — which produces its own set of symptoms such as pus drainage or fever.

How can I prevent an ingrown toenail?

Preventing an ingrown toenail often boils down to the way you trim your nails and care for your feet. Always cut the nail straight across the top and never round off the corners to ensure that the nail grows straight. Wearing too-tight or narrow shoes which place pressure onto the toe can also contribute an ingrown toenail. Additionally, always keep your feet dry and clean and wear fresh socks daily.

Treating Ingrown Toenails

There are home remedies that may help stop the pain caused by ingrown toenails, such as soaking the foot in a warm foot bath and wearing better fitting footwear. Your podiatrist may be able to prescribe antibiotics to help avoid infection. In some cases, surgery by your podiatrist may be necessary. It's important to consult your doctor to see which method is best for you.

If you think you have an ingrown toenail or need help learning to better prevent them, a podiatrist can help you determine the best plan to healthier feet. Consulting with your foot doctor at regular foot examinations can help ensure that your feet stay healthy and pain-free for years to come.

By Irving M. Luftig, BSC, DPM
November 02, 2018
Category: Foot Care
Tags: Toenail Fungus  

Treating toenail fungus

Toenail fungus--it's one of the most common podiatric problems children, teens, and adults have. Causing thickened, yellow, brittle nails, onychomycosis (the medical name for toenail fungus) spreads easily and can be stubborn to treat. If you see one or more of your toenails changing shape, color, and texture, see your foot doctor right away. They have the expertise and treatments to give you ten clear toenails once again.

How toenail fungus starts

The micro-organism thrives in dark, moist environments--sweaty socks and sneakers being prime candidates. Additionally, shared towels, nail clippers, shower room floors, and pool decks breed toenail and Athlete's Foot fungus. In fact, if you suffer periodic outbreaks of itchy, uncomfortable Athlete's Foot, you're more prone to onychomycosis, says the American Academy of Dermatology.

Conquering toenail fungus

Your foot doctor sees scores of patients with toenail fungus. Visual inspection is the main diagnostic tool, and for mild cases of onychomycosis, the podiatrist may recommend creams or ointments applied topically. Oral medications are an option as well.

Additionally, modern podiatry offers innovative laser treatments which kill the micro-organism right where it lives. Painless and very effective, laser treatments are applied to all ten toenails to prevent re-infection.

Unfortunately, toenail fungal infections can become quite severe and spread to the nail bed. When infection is severe, the podiatrist may advise complete removal of the toenail to prevent further problems.

Prevention is best

Of course, if you can avoid toenail fungus, your feet and nails will look and feel their best, and you won't be embarrassed to wear open-toed shoes or sandals in the warm weather. However, some people are more prone to this common infection--diabetics, those with poor peripheral circulation and individuals who are immunosuppressed.

Regardless, your podiatrist recommends these preventive measures for healthy, fungus-free nails:

  1. Wash your feet with soap and water daily, and dry them with a clean towel.
  2. Clip your toenails straight across with a clean clippers.
  3. Wear clean socks daily.
  4. Change your gym shoes after a workout. In fact, alternate pairs if possible, letting your footwear dry out between wearings.
  5. Wear flip-flops or shower sandals in the locker room and poolside, too.
Look after those feet and nails
 
They're the only ones you have. For ongoing care of your feet and ankles, see your foot doctor each year for a routine examination. He or she will get to know you and your podiatric health needs well so you stay active and feel great.
By Irving M. Luftig, BSC, DPM
October 22, 2018
Category: Foot Conditions
Tags: Warts  

What Causes Warts?

Got foot warts? Nearly everyone will have a wart at some point in their lives. Warts are typically small, hard skin growths caused by an infection with humanpallilloma virus. Foot warts are treatable. Foot warts are among the most common dermatologic conditions podiatrists treat. Read on to learn about the causes of warts.

An HPV Infection

Common warts are caused by by an HPV infection. Over 100 types of HPV exist. Certain types of HPV infection cause cervical cancer. Some types of HPV infection cause foot warts, while others cause warts that appear on the face, neck, or hands. Of the 100 types of HPV, about 60 cause common warts on areas such as the hands or feet.

Skin-To-Skin Contact

Wart viruses are contagious. You can get foot warts from skin-to-skin contact with people who have warts. However, not all HPV strains are highly contagious. You can get the wart virus by touching an object that another person's wart touched, such as clothing, towels, shoes, or exercise equipment.


Breaks in Your Skin

HPV infects the top layer of skin and usually enters the body in an area of damaged or cut skin. Cuts from shaving can provide an avenue for infection. Getting a scrape can also bring on common warts. Foot warts are very common in swimmers whose feet are scratched by rough pool surfaces.

A Weak Immune System

In most cases, your immune system defeats an HPV infection before it creates a wart. Someone with a weakened immune system is more vulnerable and therefore more likely to develop warts. Immune systems can be weakened by HIV or by immunosuppressant drugs used after organ transplants.


If you want to get rid of foot warts, see your podiatrist as soon as possible. Many types of effective wart treatments are available. They include salicylic acid, cantharidin, cryotherapy, laser treatment, and surgery. Your podiatrist can help you get rid of foot warts once and for all!

By Irving M. Luftig, BSC, DPM
October 04, 2018
Category: Foot Care
Tags: Foot Care   Heel Spurs  

Have you been experiencing any heel pain or bothersome tenderness without any obvious cause? Although heel spurs themselves sometimes do not cause acute discomfort, they are frequently associated with the painful inflammation known as plantar fasciitis, a condition commonly described as feeling like a knife is wrenching through your foot. Read below for more information on the typical causes, symptoms, and treatments of heel spurs.

What is a Heel Spur?

A heel spur is often the result of overstraining foot muscles and ligaments, overstretching the plantar fascia (the thick band of tissue that connects the heel bone to the toes), and repeatedly tearing the heel bone membrane. From these actions arises a calcium deposit on the underside of the heel bone. Risk factor for developing the condition include:

  • Possessing any walking gait abnormalities

  • Regularly running or jogging on hard surfaces

  • Wearing poorly fitted or overly worn shoes

  • Wearing shoes that lack arch support

  • Being excessively overweight or obese

What are The Symptoms?

Heel spurs do not carry many symptoms by themselves. However, they are often related to other afflictions, most typically plantar fasciitis. The most common sign of this combo of conditions is a feeling of chronic pain along the bottom or back of the heel, especially during periods of walking, running, or jogging. If you are experiencing this recurring inflammation, it is a good idea to visit your local podiatrist's office and inquire about undergoing an x-ray or ultrasound examination of the foot.

What are the Treatment Options?

The solutions to heel spurs are generally centered around decreasing inflammation and avoiding re-injury. They include:

  • Applying ice on the inflammation

  • Performing stretch exercises

  • Wearing orthotic devices or shoe inserts to relieve pressure off of the spur

  • Taking anti-inflammatory medications such as ibuprofen to relieve pain

  • In extreme cases, surgery can be performed on chronically inflamed spurs

If you are dealing with symptoms of heel spurs or pain in your feet, turn to a podiatrist so that we can get you back on your feet. Don't ignore your pain.





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