For the safety of our patients and staff, we will be closing tomorrow Wednesday 7/7/21.
Stay safe everyone.
Here are some of my photos from around Florida underwater. I love taking care of my patients, my other passion is being underwater.
The ankle joint is where the bones of the foot and leg meet. The up and down motion of the foot is controlled by this joint. Inflammation or injury to the cartilage, muscles, tendons, ligaments, and bones inside the ankle can all cause the ankle to hurt. Common causes of ankle pain usually include:
- Sprain or injury
- Arthritis (wear and tear)
- Achilles tendonitis
- Nerve Damage
What Symptoms Are Associated with Ankle Pain Conditions?
- Cannot bear weight on ankle
- Instability or Weakness
When Should I Visit the Doctor’s Office?
Even simple ankle injuries can cause a lot of discomfort. It is helpful to employ the RICE method. The RICE method will involve:
- Rest– Take a break and keep weight off the ankle
- Ice– Utilize an ice pack for 20 minutes a few times a day
- Compression– To minimize swelling use a compression bandage
- Elevation– elevate the ankle above the heart to minimize swelling
When the above methods do not improve symptoms, you should visit the doctor. Most ankle pain can be treated with conservative measures.
Toenail doctor: fungus is an infection underneath the surface of the nail caused by fungi. When the tiny organisms take hold, the nail often becomes darker in color and smells foul. Debris may collect beneath the nail plate, white marks frequently appear on the nail plate, and the infection is capable of spreading to other toenails, the skin, or even the fingernails. If ignored, the infection can spread and possibly impair your ability to work or even walk. The resulting thicker nails are difficult to trim and make walking painful when wearing shoes. Toenail fungus can also be accompanied by a secondary bacterial or yeast infection in or about the nail plate.
Causes of Toenail fungus
Because it is difficult to avoid contact with microscopic organisms like fungi, the toenails are especially vulnerable around damp areas where you are likely to be walking barefoot, such as swimming pools, locker rooms, and showers, for example. Injury to the nail bed, even pressure from shoes, may make it more susceptible to all types of infection, including fungal infection. Those who suffer from chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails. Other contributing factors may be a history of athlete’s foot and excessive perspiration. Toenail doctor.
Symptoms of Toenail fungus
Toenail fungus is often ignored because the infection can be present for years without causing any pain. The disease is characterized by a progressive change in a toenail’s quality and color, which is often ugly and embarrassing.
When to Visit a Podiatrist aka toenail doctor
You should visit a podiatrist when you notice any discoloration, thickening, or deformity of your toenails. The earlier you seek professional treatment, the greater your chance at getting your nails to clear.
Diagnosis and Treatment
Treatments may vary, depending on the nature and severity of the infection. Your podiatrist can detect a fungal infection early, perform a lab test, determine the cause, and form a suitable treatment plan, which may include prescribing topical or oral medication, and debridement (removal of diseased nail matter and debris) of an infected nail.
Oral antifungals, approved by the Food and Drug Administration, may be the most effective treatment. They offer a shorter treatment regimen of approximately three months and improved effectiveness. Your podiatrist may also prescribe a topical treatment, which can be an effective treatment modality for fungal nails.
In some cases, surgical treatment may be required. Temporary removal of the infected nail can be performed to permit direct application of a topical antifungal. Permanent removal of a chronically painful nail that has not responded to any other treatment permits the fungal infection to be cured and prevents the return of a deformed nail.
Trying to solve the infection without the qualified help of a podiatrist can lead to more problems. With new technical advances in combination with simple preventive measures, the treatment of this lightly regarded health problem can often be successful.
Prevention of Toenail fungus
Proper hygiene and regular inspection of the feet and toes are the first lines of defense against fungal nails. Clean and dry feet resist disease.
- Wash your feet with soap and water, remembering to dry thoroughly.
- Wear shower shoes when possible in public areas.
- Change shoes, socks, or hosiery more than once daily.
- Clip toenails straight across so that the nail does not extend beyond the tip of the toe.
- Wear shoes that fit well and are made of materials that breathe.
- Avoid wearing excessively tight hosiery to decrease moisture.
- Wear socks made of synthetic fiber that “wicks” moisture away from your feet faster than cotton or wool socks do.
- Disinfect instruments used to cut nails.
- Disinfect home pedicure tools.
- Don’t apply polish to nails suspected of infection (those that are discolored, for example).
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Corns and calluses are areas of thickened skin that develop to protect that area from irritation. They occur when something rubs against the foot repeatedly or causes excess pressure against part of the foot. The term callus commonly is used if the thickening of skin occurs on the bottom of the foot, and if thickening occurs on the top of the foot (or toe), it’s called a corn. However, the location of the thickened skin is less important than the pattern of thickening: flat, widespread skin thickening indicates a callus, and skin lesions that are thicker or deeper indicate a corn.
Corns and calluses are not contagious but may become painful if they get too thick. In people with diabetes or decreased circulation, they can lead to more serious foot problems.
Causes of corn/callus
Corns often occur where a toe rubs against the interior of a shoe. Excessive pressure at the balls of the feet—common in women who regularly wear high heels—may cause calluses to develop on the balls of the feet.
People with certain deformities of the foot, such as hammer toes, are prone to corns and calluses.
Corns and calluses typically have a rough, dull appearance. They may be raised or rounded, and they can be hard to differentiate from warts. Corns or calluses sometimes cause pain.
Mild corns and calluses may not require treatment. If the corn or callus isn’t bothering you, it can probably be left alone. It’s a good idea, though, to investigate possible causes of the corn or callus. If your footwear is contributing to the development of a corn or callus, it’s time to look for other shoes.
Over-the-counter treatments can do more harm than good, especially if you have any medical conditions such as diabetes. Some over-the-counter treatments contain harsh chemicals, which can lead to burns or even foot ulcers.
When to Visit a Podiatrist
If corns or calluses are causing pain and discomfort or inhibiting your daily life in any way, see a podiatrist. Also, people with diabetes, poor circulation, or other serious illnesses should have their feet checked.
Diagnosis and Treatment
The podiatrist will conduct a complete examination of your feet. X-rays may be taken; your podiatrist may also want to inspect your shoes and watch you walk. He or she will also take a complete medical history. Corns and calluses are diagnosed based on appearance and history.
If you have mild corns or calluses, your podiatrist may suggest changing your shoes and/or adding padding to your shoes. Larger corns and calluses are most effectively reduced (made smaller) with a surgical blade. A podiatrist can use the blade to carefully shave away the thickened, dead skin—right in the office. The procedure is painless because the skin is already dead. Additional treatments may be needed if the corn or callus recurs.
Cortisone injections into the foot or toe may be given if the corn or callus is causing significant pain. Surgery may be necessary in cases that do not respond to conservative treatment.
Prevention of corn/callus
- Wear properly fitted shoes. If you have any deformities of the toe or foot, talk to your podiatrist to find out what shoes are best for you.
- Gel pad inserts may decrease friction points and pressure. Your podiatrist can help you determine where pads might be useful.
Call us at 727-842-9504 to make an appointment. Dr. Zafar will sit down with you and discuss options to proceed with.