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6650 Frankford Ave
Philadelphia, PA 19135

July 2022

Tuesday, 26 July 2022 00:00

Sesamoiditis

Sesamoiditis is a condition in which the sesamoid bones in the forefoot become inflamed from physical activity. Sesamoid bones are bones that are not connected to other bones but are located in tendons or muscle. Two of these sesamoid bones are very small and located on the underside of the foot near the big toe. Athletes such as runners, baseball and football players, and dancers are likely to experience sesamoiditis. Those with high arched feet, flat feet, or runners who run on the ball of their foot are also prone to suffer from sesamoiditis.

Symptoms include pain or throbbing on the ball of the foot near the big toe. The pain generally starts with a mild throbbing but gradually builds up to shooting pain. Bruising, swelling, and redness are possible, but in most cases, these symptoms are not present. However, moving the big toe can result in pain and difficulty.

To conduct a diagnosis, the podiatrist will examine the ball of the foot and big toe. They will look for any outliers and check the movement of the toe. X-rays will be taken to rule out any other conditions and ensure that it is sesamoiditis.

Treatment for sesamoiditis is generally mild and includes rest, anti-inflammatory and pain medication, and ice treatments to deal with the swelling and pain. Orthotics may be needed with people who have flat or high arched feet to relieve pressure off the bones. In some cases the toe will be taped and immobilized to allow healing. The podiatrist may also decide to use a steroid injection to help with swelling as well. If you have sesamoiditis, you shouldn’t engage in any intensive activity, as it may inflame the area and worsen your pain. If the sesamoid bone has fractured, surgery may be required to remove the sesamoid bone.

If you are suffering from sesamoiditis or are experiencing symptoms similar to sesamoiditis, you should stop all physical activity that puts strain on the area. Furthermore you should see a podiatrist for a diagnosis to see if you have sesamoiditis.

Tuesday, 26 July 2022 00:00

Treating Sesamoiditis

Sesamoiditis is a potentially uncomfortable and painful condition that can threaten the health and vitality of your feet. The condition occurs when the two bones under the big toe joint, known as the sesamoid bones, become inflamed and irritated. This inflammation can occur in response to an injury or chronic causes. If you have sesamoiditis, you can experience a number of different symptoms. Most likely, you will experience pain when conducting weight-bearing activities or when applying pressure to the sesamoid bones. This condition can be painful and irritating, but there are several steps that you can take to mitigate its effects. Firstly, you can wear custom-made orthotics, or shoe inserts, that help you walk without putting pressure on the sesamoid bones. Altering your footwear may also help in reducing pain if you can find a pair of shoes that reduces the amount of pressure you exert on your big toe. In treating your sesamoiditis, you might also try to alter your daily routine to eliminate activities that put excess pressure on the feet and the sesamoid bones. If none of these or other treatments seem to reduce the pain felt from sesamoiditis, a surgical procedure may help provide the needed relief. If you believe that you might have sesamoiditis, it is always best to consult a podiatrist who will be able to properly diagnose your problem and propose a treatment plan.


 

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact John M. Fanelly, DPM of Northeast Philadelphia. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our office located in Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sesamoiditis
Tuesday, 19 July 2022 00:00

Athlete’s Foot

Athlete’s foot, or tinea pedis, is a skin disease caused by a fungal infection.  The infection typically occurs between the toes, and the feet are most subject to this disease because shoes best create the warm, dark, and moist environment in which fungus thrives.  Other areas that create a similar environment, such as swimming pools, public showers, and locker rooms; can also promote fungi growth. 

Symptoms of athlete’s foot include dry skin, itching, scaling, inflammation, and blistering.  Sometimes, blisters can evolve into the cracks or breaks in the skin.  The exposed tissue can then create pain, swelling, and discharge.  The spread of infection can cause itching and burning as well.

While athlete’s foot commonly occurs between the toes, it may also spread to the toenails or soles of the feet.  Other parts of the body, such as the groin or underarms, can also become infected if they are touched after the original area of infection is scratched.  Aside from physical contact, athlete’s foot can also spread through the contamination of footwear, clothing or bedsheets.

Proper foot hygiene is essential in preventing athlete’s foot.  You can prevent the fungus from spreading by frequently washing your feet using soap and water, thoroughly drying the feet between the toes, changing shoes and socks every day to reduce moisture, and ensuring that bathroom and shower floors are disinfected.  Other tips include using shower shoes, avoiding walking barefoot in public environments, wearing light and airy shoes, and wearing socks that keep the feet dry.

While treatment for athlete’s foot can involve topical or oral antifungal drugs, mild cases of the infection can be treated by dusting foot powder in shoes and socks.  Any treatment used can be supplemented by frequently bathing the feet and drying the toes.  If proper foot hygiene and self-care do not ease your case of athlete’s foot, contact your podiatrist.  He will determine if the underlying cause of your condition is truly a fungus.  If that is the case, a comprehensive treatment plan may be suggested with the inclusion of prescription antifungal medications.

Athlete’s Foot is one common and potentially uncomfortable issue that can negatively impact the health of your feet. This condition is essentially a fungal infection that is highly contagious. It is most frequently spread to an individual when they fail to wear shoes in highly-trafficked public areas, such as locker rooms and pool sides. Moisture tends to help this fungal infection thrive and spread quickly. The condition can cause redness, itching, and discomfort. There are several different ways that a podiatrist can go about diagnosing a case of athlete's foot. In some cases, a podiatrist may be able to perform the diagnosis by simply observing the symptoms, such as cracking and discoloration. However, in other cases, a podiatrist may need to perform a skin test to properly diagnose the condition. This is known as a skin lesion potassium hydroxide exam. During such an exam, the podiatrist can take a piece of the infected skin and place it in a chemical called potassium hydroxide. This process ultimately isolates the fungus from the other normal skin cells, allowing the doctor to observe the fungus. If you think that you might have developed a case of athlete’s foot, it may be best to reach out to a podiatrist who can use one of these aforementioned methods of diagnosis. 

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact John M. Fanelly, DPM from Northeast Philadelphia.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

If you have any questions please feel free to contact our office located in Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Athlete’s Foot
Tuesday, 12 July 2022 00:00

What to Know About a Broken Toe

Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications. However, it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any more additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it. Then, tape the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery, especially when the big toe has been broken. Due to its position and the pressure the big toe endures with daily activity, future complications can occur if it is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications. Prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma. They will be able to diagnose the injury and recommend the appropriate treatment options. 

Tuesday, 12 July 2022 00:00

All About Fractures to the Little Toe

Fractures to the 5th metatarsal, or the pinky toe, are quite common. When the fracture occurs in the middle section of the metatarsal, it is known as a Jones fracture. The main cause is sudden force on the outside of the foot. A Jones fracture is common to athletes, dancers, and workers who stand for long periods. Men around 30, who are physically active, and women over 70, who may have osteoporosis, are more likely to sustain a Jones fracture as well. Symptoms include pain, swelling, tenderness, and difficulty walking. Check for discoloration or a bump on the side of the foot that is not usually there. It is not always easy to detect a Jones fracture through an X-ray, and in many cases an MRI or other imaging test may be required. As Jones fractures typically do not heal rapidly, it might take months before you can resume normal activities. If you believe you have sustained a Jones fracture, it’s a good idea to see a podiatrist as soon as possible for an exam and diagnosis.  

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact John M. Fanelly, DPM from Northeast Philadelphia. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions, please feel free to contact our office located in Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What to Know About a Broken Toe
Thursday, 07 July 2022 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 05 July 2022 00:00

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

Tuesday, 05 July 2022 00:00

Truck Driving and Plantar Fasciitis

One of the most common causes of heel pain is a condition known as plantar fasciitis. This condition is caused by the straining of the ligament that runs between the toes and the heel. The straining of this ligament can produce sharp and shooting pains in the bottom of the feet that are most prominent when taking your first step after a prolonged period of rest. Many individuals are at a higher risk of suffering from plantar fasciitis. Namely, women who often wear high-heeled shoes are more prone to experiencing plantar fasciitis because of the extra strain that such footwear causes on the heel. However, it may come as a surprise to some that truck drivers are also at a greater risk of experiencing this condition. This can be explained by the fact that truck drivers spend most of their day sitting while driving, but often must suddenly and sporadically engage in physical activity during rest stops before they can properly stretch and re-engage ligaments in their feet. Truck drivers may be able to stave off the effects of plantar fasciitis by regularly stretching foot ligaments and muscles, especially before beginning to walk after a long drive. Truck drivers may also consider opting for more supportive footwear or wearing a heel cup for extra protection. Although some occupations may put individuals at a greater risk of developing plantar fasciitis, a podiatrist may be able to help create a plan to remedy and prevent this condition.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact John M. Fanelly, DPM  from Northeast Philadelphia. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our office located in Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
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