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6650 Frankford Ave
Philadelphia, PA 19135

May 2024

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 28 May 2024 00:00

Laser Treatment For Fungal Toenails

Laser treatment for fungal toenails, also known as onychomycosis, is a modern medical procedure designed to eliminate fungal infections using focused light beams. This method is chosen over traditional treatments like topical antifungals and oral medications because it offers a non-invasive, pain-free alternative with minimal side effects. While topical treatments often require prolonged use and oral medications can have systemic side effects, laser therapy targets the fungus directly, promoting quicker and more effective results. Candidates for laser treatment typically include those who have not responded to other treatments, individuals with contraindications to oral antifungals, or those seeking a faster resolution. During the procedure, a laser beam is directed at the infected nail, penetrating the nail plate to kill the underlying fungus without damaging surrounding tissue. The treatment is usually completed in several sessions. Efficacy rates are promising, with many patients experiencing significant improvement and clearing of the infection. However, outcomes can vary based on the severity of the infection and adherence to follow-up care. If you would like to explore laser treatment for your fungal toenails, it is suggested that you schedule an appointment with a podiatrist to discuss whether this treatment is suitable for you.

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with John M. Fanelly, DPM from Northeast Philadelphia. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

  • Nail thickening
  • Brittleness of the nail
  • Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

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 Laser Treatment for Fungal Nails
Tuesday, 28 May 2024 00:00

Laser Treatment for Fungal Nails

A new treatment for fungal nails, or onychomycosis, which has grown in popularity in recent years, is laser treatment. Laser treatment involves the use of a laser that kills fungus in the toenail with heat. Laser therapy causes no side effects and does not affect nearby healthy tissue.

Toenail fungus afflicts almost 10 percent of the U.S. population and is more common among the elderly. The most common symptom of toenail fungus is the discoloration and thickening of the nail. The nail can also become brittle and a foul smell may be produced. In rare cases, pain might be present. While it is not a serious condition, it can lead to a perception of disgust amongst those it affects. There are several different fungi that cause fungal infections. These include dermatophyte, yeast, and mold. The most common of these is dermatophyte.

Diagnosis for fungal nails involves a podiatrist utilizing microscopy and fungal cultures. This will allow the doctor to determine whether it is a fungus or another condition, such as lichen planus, psoriasis, nail damage, and onychogryphosis.

Fungus in the nails can be hard to get rid of with over-the-counter drugs. This is due to the nail being hard and protective, with fungus able to slip between the nail bed and plate. Furthermore the slow growth of the nail increases the difficulty of fungus going away. Laser treatment seeks to get around this by directly penetrating through the nail and killing the fungus. The laser is used on each infected nail for a couple of minutes. Patients then typically return several weeks or months later for another laser treatment. During this time the podiatrist will routinely observe the foot and infection. It is also recommended to wear clean socks and shoes and allow the feet to dry and breathe to prevent toenail fungus.

Laser treatment is still a relatively new treatment and not all podiatrists have laser machines. Ask your podiatrist if they do laser treatment for toenail fungus and if it is right for you.

Tuesday, 21 May 2024 00:00

Causes of Falling and Preventions Tips

Falls among adults can result from various factors, including vitamin deficiencies, balance issues, and vision problems. Deficiencies in vitamins such as D and B12 can weaken bones and impair nerve function, increasing the risk of falls. Similarly, balance disorders, often linked to aging or certain medical conditions, can disrupt equilibrium and stability while walking or standing. Vision impairment, whether due to age-related changes or untreated eye conditions, can also hinder depth perception and spatial awareness, heightening the likelihood of tripping or stumbling. To mitigate these risks, individuals can adopt fall prevention measures such as regular exercise to improve strength and balance, ensuring adequate intake of essential vitamins through a balanced diet and supplements, and scheduling routine eye exams to address vision issues promptly. Additionally, removing tripping hazards at home, installing handrails and grab bars, and using proper footwear with good traction can further reduce the likelihood of falls and promote safety and independence. Falling can seriously impact the feet, and cause difficulty in completing daily activities. If you have endured a foot injury from falling, it is suggested that you visit a podiatrist who can treat foot pain, and educate you about effective fall prevention methods.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with John M. Fanelly, DPM from Northeast Philadelphia. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

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Tuesday, 21 May 2024 00:00

Falls Prevention

Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds, and every 19 minutes, an older person dies from falling. In light of these striking statistics, one can see the importance of taking steps to prevent falls.

Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.

Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.  

Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

 

Tuesday, 14 May 2024 00:00

Symptoms of Toenail Fungus

Toenail fungus, also known as onychomycosis, has several distinct symptoms that can affect the appearance and health of your toenails. The infection usually starts with a white or yellow spot under the tip of the toenail. As it progresses, the fungus can cause the nail to discolor, thicken, and develop crumbling edges. This may make the nail difficult to trim. The affected nails may also become brittle, ragged, and take on a dull, lackluster appearance. In some cases, the nail can separate from the nail bed. This may be a painful experience and can lead to further complications. Advanced cases of toenail fungus can result in a foul odor. A podiatrist, or foot doctor, can recommend effective treatments. These often include antifungal medications, topical treatments, and, in severe instances, professional removal of the nail. If you suspect toenail fungus, it is suggested that you schedule an appointment with a podiatrist to discuss treatment options. 

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact John M. Fanelly, DPM of Northeast Philadelphia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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 How to Treat Your Toenail Fungus
Tuesday, 14 May 2024 00:00

How to Treat Your Toenail Fungus

While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.

There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.

Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.

While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.

Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.

Tuesday, 07 May 2024 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Tuesday, 07 May 2024 00:00

The Progression of Foot Ulcer Stages

Foot ulcers, a common complication among individuals with diabetes or circulatory issues, undergo distinct stages as they develop and heal. These stages offer insights into the severity of the ulcer. Podiatrists can use the stages as a guide for treatment decisions. Initially, ulcers may start as redness or irritation on the skin, indicating early-stage ulcer formation. As the condition progresses, the ulcer may deepen, forming an open sore or wound. At this stage, infection becomes a significant concern that requires prompt medical attention to prevent complications. Without proper treatment, ulcers can advance to deeper tissue layers, exposing tendons, bones, or joints. This stage poses a heightened risk of severe infection and potential limb loss, underscoring the importance of vigilant wound care and regular monitoring. If you are diabetic and you develop a foot wound, it is strongly suggested that you are under the care of a podiatrist who can provide you with proper wound care treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with John M. Fanelly, DPM from Northeast Philadelphia. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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 Wound Care
Wednesday, 01 May 2024 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!

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