Tuesday, 02 January 2024 00:00

Causes and Symptoms of Toenail Fungus

Toenail fungus, medically known as onychomycosis, is a common nail infection that can be both unsightly and uncomfortable. It typically occurs when fungal organisms, like dermatophytes, infiltrate the nail bed through small cuts or separations in the nail or surrounding skin. The symptoms of toenail fungus are recognizable. Infected nails often become discolored, appearing yellow, brown, or white, and they may thicken and become brittle. As the fungus progresses, the nails can become crumbly and ragged. In some cases, they may emit a foul odor. Other potential signs of toenail fungus include pain or discomfort, especially while wearing shoes. The infection can also spread to other nails or the surrounding skin, leading to additional fungal growth and irritation. If you have noticed the beginning signs of toenail fungus, it is strongly suggested that you schedule an appointment with a podiatrist who can promptly begin the appropriate treatment.

For more information about treatment, contact Stephen Boykins, DPM of SoCal Podiatry, P.C.. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in Downey and Moreno Valley, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 02 January 2024 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

In the elderly, purple, black, or blue discoloration of the feet can signify underlying health issues that warrant attention. These hues may indicate poor blood circulation, potentially linked to conditions such as peripheral artery disease. Reduced blood flow can lead to tissue damage, causing the skin to take on these distinctive colors. Moreover, elderly individuals are prone to bruising, and black or blue discoloration might result from minor injuries due to thinning skin and weakened blood vessels. Another potential cause is venous insufficiency, where compromised vein function hinders proper blood return to the heart. This can result in pooling of blood in the lower extremities, manifesting as discoloration. In some cases, these symptoms may point to more serious conditions like deep vein thrombosis. It is vital for caregivers and healthcare providers to monitor such changes, promptly addressing any concerns to ensure the elderly receive appropriate medical attention and intervention for their overall well-being. If you notice these colors on the feet of elderly people you are caring for, it is strongly suggested that you consult a podiatrist who can accurately diagnose and offer effective treatment options.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Stephen Boykins, DPM from SoCal Podiatry, P.C.. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our offices located in Downey and Moreno Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 26 December 2023 00:00

Elderly Foot Care

As you grow older, you will start to notice more problems with your feet due to wear and tear. This may also happen because the skin will start to become thin and lose elasticity. Some signs of aging feet are regular aches and pains, bunion development, and clawed toes.

Fortunately, there are ways you can improve comfort, relieve pain, and maintain mobility in your feet. One of the best ways to deal with aging feet is to exercise. If you keep active, your muscles will become toned which will then strengthen the arches in the foot and stimulate blood circulation.

It is important that you practice proper foot care to protect your aging feet. You should wash your feet in warm water on an everyday basis. Afterward, the feet need to be dried well and it is important to dry between the toes. Your toenails should be trimmed and kept under control; nails that are poorly cut may become ingrown. At the end of each day, performing an inspection of your feet will allow you to detect any ailments in their early stages.

As you grow older, it becomes more important that you wear comfortable shoes. Your shoes should be secure, and they should provide decent arch support. If you are looking to buy a new pair of shoes, it is best to look for a pair that are made from a breathable material. It is also helpful to have shoes that have a bit of extra room at the top of the shoe, especially if you suffer from swollen feet.

The most common foot problems that elderly people will encounter are bunions, calluses, corns, hammertoes, heel pain, and foot problems related to diabetes. Some other issues include arch pain, tarsal tunnel syndrome, Achilles tendonitis, and Morton’s neuroma

An annual foot examination is a great way for you to ensure that you do not have any serious health problems with your feet. You should talk to a podiatrist about the available treatment options for whichever foot issue you are dealing with.

Tuesday, 19 December 2023 00:00

How Gout Differs From Rheumatoid Arthritis

Gout and rheumatoid arthritis, also known as RA, are two distinct medical conditions that can affect joints in the feet and ankles, and they can be differentiated based on various factors. Gout is caused by the accumulation of uric acid crystals in the joints, usually due to an overproduction or under-excretion of uric acid. In contrast, RA is an autoimmune disease where the body's immune system mistakenly attacks its own joints, leading to inflammation. The symptoms of gout and RA also vary. Gout typically presents with sudden and intense pain in one joint, often the big toe, along with redness and swelling. RA, on the other hand, typically affects multiple joints symmetrically and causes chronic pain, morning stiffness, and joint deformities over time. Laboratory tests can help distinguish between the two conditions. Elevated levels of uric acid in the blood or the presence of uric acid crystals in joint fluid are indicative of gout. RA is characterized by the presence of specific auto-antibodies, like rheumatoid factor and anti-cyclic citrullinated peptide antibodies. If you have pain in your foot or ankle joints, it is suggested that you schedule an appointment with a podiatrist for proper testing and a diagnosis so that the right treatment can be administered.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Stephen Boykins, DPM from SoCal Podiatry, P.C.. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our offices located in Downey and Moreno Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 19 December 2023 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

As the temperatures plummet and the outside environment becomes frosty, safeguarding your feet during outdoor work is paramount. Wearing proper footwear is the frontline defense against the biting cold. Choose insulated, waterproof boots that shield your feet from moisture and provide thermal protection. Layering socks is an effective strategy, ensuring warmth without compromising circulation. Choose moisture-wicking materials to prevent sweat accumulation, as dampness can intensify the cold. Additionally, ensure your boots are breathable to discourage moisture buildup. Regular breaks offer an opportunity to warm up and restore circulation. Invest in quality, insulated insoles to add an extra layer of warmth and comfort. Be mindful of frostbite warning signs, such as numbness or tingling, and promptly address any discomfort. Prioritize foot hygiene to prevent issues like frostbite and trench foot. If you are seeking additional tips on foot protection while working during the winter months, it is suggested that you confer with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Stephen Boykins, DPM from SoCal Podiatry, P.C.. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our offices located in Downey and Moreno Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Handle a Long Work Day on Your Feet
Tuesday, 12 December 2023 00:00

How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

Sunday, 10 December 2023 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 December 2023 00:00

Peripheral Artery Disease and Your Feet

Peripheral artery disease, or PAD, is a condition that affects the arteries, causing narrowing and restricting blood flow, primarily to the lower limbs and feet. It is more prevalent among people aged 50 to 75, with more women than men affected. The hallmark symptom of PAD is intermittent pain in one or both calves during physical activity, which subsides with rest. This discomfort stems from the narrowed femoral artery, which hinders adequate delivery of blood and oxygen to calf muscles and feet during movement. Walking uphill or climbing stairs may intensify the pain. In severe cases, where blood supply is significantly reduced, individuals may experience pain, particularly at night. This type of pain typically is felt in the toes and feet. Other signs of peripheral artery disease include poor hair and toenail growth cool feet, and weak or absent pulses in the arteries of the feet. If left untreated, PAD can lead to complications such as skin ulcers and, in rare cases, gangrene. For that reason, if you believe you have developed peripheral artery disease, it is suggested that you schedule regular appointments with a podiatrist who is trained to manage symptoms effectively. A podiatrist can assess circulation, identify potential issues, and provide guidance on lifestyle modifications that can improve your overall foot health.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Stephen Boykins, DPM from SoCal Podiatry, P.C.. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Downey and Moreno Valley, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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