foot doctor

Don’t Be Embarrassed Wearing Flip Flops this Summer!

fungal nails

A day usually does not go by in the office when I do not see a patient who comes to me saying that there toenails are ugly. With spring here, and summer right around the corner, everyone is preparing for flip-flop season. What better way to prepare than by seeing your podiatrist to get your toenails into shape. Ugly toenails (thickened, discolored, crumbly nails) can be caused by many different things. Most commonly, this type of presentation is caused by a nail fungus. Nail fungus is contagious and is generally seen after walking barefoot on a pool deck, locker room, hotel room floor, etc. Treatment is important to not only prevent spreading on your feet but also to prevent yourself from sharing with your whole family.

A Podiatrist Can Do That?

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This weather today makes me look forward to summer and kayaking- picture of Dr. Kaplan and his dog Barley!

As a practicing podiatrist, a week does not go by without a patient coming in for one issue and during the course of exam I find another issue that the patient did not know we treated. Commonly it’s a patient that comes in for foot pain and I notice a skin condition on their foot and right away they say they are going to make an appointment with their dermatologist. I am here today to tell you that podiatrists treat ALL conditions related to the feet whether it be pain or not.

Bunions!

  • gout

One of the most common foot conditions seen in the world are bunions. Bunions are best defined as bony prominence’s that occur at the joint at the base of the big toe. As a bunion develops, the toe deviates towards the outside of the foot and pain can develop. There are multiple causes of bunions but the most common cause is a flat foot type which tends to be inherited from your parents. Trauma and other systemic diseases can cause bunions although less commonly.

Foot & Ankle Surgery; What To Expect

Victoria Beckham

“You’re going to need surgery,” is a very disconcerting phrase that most people dread hearing from a medical professional, but when it comes to surgeries prescribed by your podiatrist, you can put your mind at rest. Foot and ankle procedures generally have a recovery period that is much shorter than that of many other types of surgery. A patient can resume regular everyday activities in relatively little time.

What Is The Rich Mans Disease?

iStock_000017138718_FullNow that the holidays and New Years are upon us and we are indulging in food and drinks at parties with co-workers, family and friends, the incidence of gout increased. Gout is a type of arthritis that is seen when there is too much uric acid in the blood. It is commonly seen after eating seafood, meats, spinach as well as after drinking beers and other alcohols (all high in purines). Symptoms consist of severe pain in a joint (in the foot most commonly in the big toe joint), redness and swelling of the joint. Some people describe severe pain with something as basic as the sheets touching the affected body part. It is important to know that the above symptoms can be seen in many other disorders including infection and should be evaluated immediately. It is also important to know that you aren’t only affected with a flare up if you have had gout as a child. Many adults will have their first flare up in there 50’s or 60’s.

After infection and other diagnoses are ruled out (sometimes by x-ray and/or joint fluid sample), the most common treatment is an anti-inflammatory such as Indomethacin. Colchicine is another medication that can be used during an acute flare. Injection of steroid into the affected joint can also be used as initial treatment. It is important to start taking long term medications as well to decrease the likelihood of flare-ups. Some of these medications include Allopurinol, Febuxostat or Probenecid. It is also important to focus on avoiding foods high in purines and meeting with a dietician can help you determine this.

If you have any concerns regarding gout or any other foot and ankle condition, call Quality Foot Care at 215-230-9707 to make an appointment with Doylestown’s local podiatrists!

Foot Pain after your Holiday Party? Lonnie Kaplan DPM

Now that the holidays are upon us and we are indulging in food and drinks at parties with co-workers, family and friends, the incidence of gout tends to be on the increase. Gout is a type of arthritis that is seen when there is too much uric acid in the blood. It is commonly seen after eating seafood, meats, spinach as well as after drinking beers and other alcohols (all high in purines). Symptoms consist of severe pain in a joint (in the foot most commonly in the big toe joint), redness and swelling of the joint. Some people describe severe pain with something as basic as the sheets touching the affected body part. It is important to know that the above symptoms can be seen in many other disorders including infection and should be evaluated immediately. It is also important to know that you aren’t only affected with a gout flare up if you  had gout as a child. Many adults will have their first flare up in there 50’s or 60’s.

After infection and other diagnoses are ruled out (sometimes by x-ray and/or joint fluid sample), the most common treatment is an anti-inflammatory such as Indomethacin. Colchicine is another medication that can be used during an acute flare. Injection of steroid into the affected joint can also be used as initial treatment. It is important to start taking long term medications as well to decrease the likelihood of flare-ups. Some of these medications include Allopurinol, Febuxostat or Probenecid. It is also important to focus on avoiding foods high in purines and meeting with a dietitian can help you determine this.

If you have any questions or concerns regarding gout or any other foot and ankle condition, call Quality Foot Care today at 215-230-9707 to make an appointment with Doylestown’s local podiatrists!

Sunburn on Feet……Ouch!

sunburn on feet

Summer is great and warm and this is why many people head for the lakes, oceans and ponds. The thing that many forget is to be careful when exposing the skin to direct sunlight for numerous hours. Yes, there is sunscreen but many people do not think to put it on their feet. It’s easy to remember to put it on your face, arms and legs. Just the thought of having to dress for work with a sunburn is enough to make us remember. The problem is that when the feet get a sunburn we have to learn the hard way how uncomfortable it is to put shoes on over a sunburn. Not only is the sunburn painful you now get to add the agony of being in shoes at work for hours on end.

Sunburn on Top of Feet

When you have a sunburn on the top of your feet it can be super painful. No matter what type of shoe you decide to wear it hurts. Sandals and flip-flops have straps and other shoes have ties. Trying to be comfortable with sunburnt feet seems impossible.

Sunburn on Feet Treatment

If your feet are severely swollen and blistered it is time to see your foot doctor. A foot doctor can give you a prescription for medication to help alleviate the pain.  If your feet are sunburnt and just uncomfortable there are a few things you can do at home to try to stay as comfortable as possible.

  • Soak your feet in cool water.
  • Apply Aloe Vera gel. This gel can be purchased over the counter at any pharmacy.
  • When you are home limit sock use. By limiting the time you wear socks it will allow your feet to breathe.
  • Avoid soap on the sunburn.
  • Witch Hazel works on many people’s sunburns.
  • Adding one cup of vinegar in a foot soak also helps.
  • Do not rub or scratch the areas that have the sunburn. Rubbing will increase the damage to the skin.
  • Watch for signs of infection. If you suspect that you may have an infection starting be sure to get in touch with your podiatrist ASAP.

Be Wise and No Sunburnt Feet

Of course, it is wise to remember to put sunscreen on your feet. Another thing to remember is to put sunscreen on your feet even when wearing sandals or flip-flops. For the best protection from the sun begin putting your sunscreen on 30 minutes before going out into the sun.

When choosing sunscreen, look for SPF 30 so that your feet will be safe. Do you know it can take up to 6 months for your skin to return to normal after a sunburn? The new skin under where the burned skin peels is super sensitive, so treat it kindly.

Summer Foot Care for Healthy Feet

Beach

Summer Foot Care

One of the best things about the summer and warm weather is that you can have your feet out of the boots and feeling the warm air. Shoe-free time with your feet in the sand and grass gives us a feeling of freedom and contentment. But, one must take care of the feet while they are out enjoying the warmth and fresh air.

Taking care of your feet in the summer is very important. Even if you are just out soaking in the sun, your feet can become severely burned. That fancy hotel you may be staying at for summer break? The shower may be great, but the athlete’s foot that is lurking will not be kind to your feet. As a matter of fact, athlete’s foot can be hanging out in all kinds of public places.

Wouldn’t you rather be outside enjoying the beautiful weather instead of having to visit the foot doctor? Here are a few basic tips to remember when you and your feet are enjoying the weather.

  1. Remember to apply sunscreen to your feet. Be sure to apply the sunscreen to the top and sides of your feet. If you have been in the water make sure that you reapply the sunscreen.
  2. Where flip flops or other protective footwear when you are walking around in public areas. Wear flip flops in the showers and the bathroom areas. Protecting your feet from athlete’s foot, plantar warts, ringworm and other infections is important.
  3. Different activities, while you are out, may require different footwear. Make sure you are wearing the appropriate shoes for the activity that you are doing.
  4. Drink plenty of water when you are out in the hot weather. Water is great for overall health and will help minimize any swelling in your legs and feet.
  5. If you injure your foot while you are out, then you will need to contact your podiatric physician. Do not let foot injuries go for too long without having it looked at by the physician.

Warm Weather Foot Gear

  • Always have flip flops available for visits to the pool, hotel rooms, and the spa.
  • Antibiotic Cream- for minor skin injuries
  • Band-Aids and Sterile Bandages- For scrapes and cuts
  • Emollient Creams- to keep feet hydrated
  • Advil or Motrin- to reduce pain and swelling of feet
  • Sunscreen- to protect feet from painful sunburn
  • Aloe Vera- for sunburned feet
  • Blister Pads- to protect against blisters
  • Clippers- to keep toenails trimmed
  • Emery Boards- to file the sharp edges of the toenails
  • Pumice Stone- to help with callused skin

If you have injured your foot and thought, you may have a sprain or worse a break you will need to see your foot doctor. Most people will call their regular doctor or go to the local emergency room. By contacting your foot doctor, you will be treated by the foot professional. Never let a foot injury go unchecked. If you break a bone in your foot and do not get it checked by the physician, you will have more problems later on. A simple x-ray will let you and your doctor know if you have a broken bone in your foot.

Have questions concerning your foot health? Contact Quality Foot Care by calling (215) 230-9707.

What is Athlete’s Foot?

 

 

Athlete’s foot will usually begin as a rash that can cause intense itching. Athlete’s foot is also known as tinea pedis and usually starts between the toes. Athlete’s foot will usually strike those people who wear tight-fitting shoes and have feet that sweat. The more your feet sweat the worse the symptoms seem to be.

Signs of Athlete’s Foot

Most common signs of athlete’s foot are itching, burning and stinging. Athlete’s foot is also very contagious and can be picked up from floors, towels and showers. Anywhere that a person has walked barefoot that has athlete’s foot will be contaminated.

Athlete’s foot is related to a few other fungal infections including jock itch and ringworm. Athlete’s foot can be treated with over-the-counter antifungal medications. If you find that the over-the-counter antifungal medications are not working it is time to see your foot specialist. There are medications available that can be prescribed and will reduce the discomfort quickly. Athlete’s foot can cause your feet to hurt and bleed if it is not taken care of.

You may notice that athlete’s foot can become worse at night after taking your shoes and socks off. Some forms of athlete’s foot can become so severe that it will cause blisters and open sores. If you have blisters try not to scratch them and open them up. If you do touch your blisters or feet be sure to wash your hands right away. Athlete’s foot can spread to your hands.

Time to see your Foot Specialist

If you suspect you have athlete’s foot and you have diabetes then you need to see your foot specialist right away. If you notice swelling, redness and have a fever then put a call into your podiatrist. There is no need having to suffer when your doctor is a phone call away.

What Causes Athlete’s Foot

Caused by the same organisms as jock itch and ringworm, athlete’s foot thrives in damp places that are warm. Try to wear shoes that allow the feet to breath at all times. Try to wear white cotton socks over those that are heavier and do not allow your feet to breath.

Avoiding Athlete’s Foot

  • Wear shoes that allow your feet to breath.
  • Do not share mats, bed linens, towels, socks or shoes with someone who has athlete’s foot.
  • Do not walk barefoot in public areas including public showers. Wear flip-flops to protect your feet when in public areas.

Athlete’s foot that is not taken care of can spread to other parts of your body including your nails, your hands and your groin area.

What to Expect From Your Foot Doctor

Your foot doctor will examine your feet. You will be asked when this rash started. Does any other family member have athlete’s foot? Have you been in public showers, swimming pools or other areas where athlete’s foot may have spread?

If you have questions about athlete’s foot be sure to ask your doctor. The better informed you are the less chance of contracting this type of rash again.

What Are Orthotics?

Orthotics

Othotics

By Dr. Ken Lefkowitz

I’ll begin by clearing up a common misconception. Everyone should be aware that shoe inserts are not the same thing as prescription orthotics. If you buy shoe inserts from a store, they will not treat the same issues as the orthotics from your podiatrist do, and will not provide the same quality of treatment. Shoe inserts can only be useful if you need arch support, extra cushioning, or a barrier to prevent your feet from rubbing against your toes. Prescription orthotics treat a much wider range of issues.

 

Custom orthotics are specially made for you. They are crafted to match the contours of your feet and are customized for your specific way of movement and pathology. This is what makes the major difference in effectiveness as compared to over-the-counter shoe inserts. There are two kinds of prescription orthotics; functional orthotics and accommodative orthotics. Functional orthotics can treat shin splints, tendonitis, and foot pain caused by abnormal movement. Accommodative orthotics are employed to treat diabetic foot ulcers, painful calluses on the bottom of the feet, and a variety of other uncomfortable conditions such as plantar fasciitis, bursitis, and general foot and ankle pain.

 

Here at Quality Foot Care, we use advanced technology combined with an in depth exam to create orthotics that are perfect for your feet. Most importantly, we listen to your concerns and complaints to deliver the treatment you deserve. Visit us at our Doylestown office this fall. To make an appointment today, call 215-230-9707.