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What Is Onychogryphosis?
Onychogryphosis, commonly called ram’s horn nails, causes the toenails to thicken, harden, and grow in a curved, claw-like shape. It usually affects the big toe and discomfort or pain can be felt, particularly when wearing shoes or walking. This condition is more common in older adults, individuals with limited mobility, and those who have experienced trauma to the toes, which may trigger abnormal nail growth. Poor circulation, improper nail care, and underlying health conditions like diabetes can also increase the risk of developing onychogryphosis. Diagnosis involves a physical examination by a podiatrist, who may use imaging tests to assess the severity. Management typically includes regular trimming and thinning of the nail, and in severe cases, partial or complete nail removal. If you have any symptoms of this condition, it is suggested that you visit a podiatrist who can provide proper care and guidance to manage symptoms and prevent complications.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Richard P. Jacoby, DPM from Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Exercises for Rheumatoid Arthritis in the Feet
Rheumatoid arthritis, or RA, can cause stiffness, swelling, and pain in the feet, making it difficult to move and walk comfortably. Specific exercises can help improve flexibility, and strength, and reduce discomfort. Gentle stretching exercises, such as toe flexes and ankle rotations, can increase joint mobility and ease tension in the foot. Strengthening exercises, like towel scrunches and marble pickups, engage the small muscles in the feet, promoting stability and supporting proper foot function. In addition, calf stretches can relieve tension in the lower legs and help reduce pressure on the feet. Low-impact activities, such as swimming or cycling, are also beneficial for improving circulation and overall joint function without putting undue stress on the feet. If you have any type of foot arthritis, it is suggested that you contact a podiatrist who can offer effective relief and management tips.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Arthritic Foot Care
Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.
In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.
Alleviating Arthritic Pain
- Exercises that stretch the foot can prevent further pain and injury and increase mobility
- Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
- Massages can help temporarily alleviate pain.
It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.
If you have any questions, please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Do You Suffer From Painful Feet?
Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!
Men's Trail Running Shoes for Optimal Performance
Selecting the right trail running shoes is vital for men to enhance their performance and ensure comfort on rugged terrains. One key feature to consider is the presence of large lugs on the outsole, which provide added traction on various surfaces. This helps prevent slips and falls during challenging runs. Additionally, a rock plate in the midsole is essential for protecting the feet from sharp stones and uneven ground, allowing for a more comfortable and confident run. Furthermore, EVA foam in the midsole offers excellent cushioning and shock absorption, helping to reduce fatigue over longer distances. Together, these features create a balanced shoe that supports the foot while providing the necessary protection and comfort needed for trail running adventures. Specific shoes are needed for trail running. If you have endured a foot injury from wearing incorrect shoes for this type of running, it is suggested that you consult a podiatrist. This type of doctor can treat various foot conditions, and guide you on appropriate shoe choices for trail running.
If you are a runner, wearing the right running shoe is essential. For more information, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.
- Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
- Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
- Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.
If you have any questions please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Symptoms and Causes of Fungal Toenails
Toenail fungus, medically known as onychomycosis, often results in nails becoming brittle, thickened, and discolored to a whitish-yellow or brown. This condition frequently affects nails on the big toes and may lead to the nail separating from the nail bed if left untreated. A fungal toenail typically starts at the front or side edge of the nail and is caused by dermatophytes, though yeast or mold can occasionally be involved. Risk factors include athlete’s foot, wearing tight shoes, nail damage, and poor circulation. Toenail fungus is more common among older adults and anyone with a weakened immune system. Because fungal toenail infections rarely resolve on their own, seeing a podiatrist is often necessary. This foot doctor can offer treatments such as topical medication, oral antifungal pills, or laser therapy to target the infection. It may even take a combination of treatments, depending on the severity and type of fungus involved. If you believe you have a fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
For more information about treatment, contact Richard P. Jacoby, DPM of Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Night Splints and Foot Pain
Night splints are commonly used to treat foot conditions like plantar fasciitis and flat feet. These devices hold the foot in a dorsiflexed position while you sleep, which helps stretch the plantar fascia and Achilles tendon. This stretching reduces pain and inflammation by gently lengthening these tissues, promoting healing. Different types of night splints are available, including dorsiflexion splints that flex the foot upward, static splints that hold the foot in a neutral position, and posterior splints that provide support to both the foot and calf muscles. While some people may find night splints uncomfortable at first, many patients experience significant relief with regular use. Night splints are a non-invasive option and can be a valuable part of a treatment plan for foot pain. A podiatrist can help determine which type of night splint is best for your specific condition and ensure that it fits properly. If you have foot pain, it is suggested that you schedule an appointment with a podiatrist to see if night splints are right for you.
If you are having discomfort in your feet and would like to try orthotics, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Diabetes Affects Wound Healing
Diabetes can significantly impair wound healing, particularly in the feet, where the risk of complications is higher. Elevated blood glucose levels in diabetic patients disrupt vital healing processes that delay tissue repair. For instance, diabetes often leads to poor circulation, which reduces oxygen and nutrient delivery to wound sites and further slows healing. Diabetic neuropathy, or nerve damage, makes it difficult for patients to feel foot injuries, which allows wounds to go untreated and increases the risk of infection. Meanwhile, the immune system is often weakened by this disease, making it harder for the body to fight infections that can further delay healing. Regular foot checks and early intervention are essential to managing foot wounds for people who are diabetic. If you have foot wounds that will not heal, it is suggested that you include a podiatrist as part of your medical team for 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 Richard P. Jacoby, DPM from Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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!
Managing Plantar Fasciitis
Plantar fasciitis is a frequent cause of heel pain that affects the thick band of tissue, known as the plantar fascia, which runs along the bottom of the foot. Pain is usually most noticeable during the first few steps after waking or after long periods of inactivity, but can also worsen with prolonged standing or walking. Discomfort occurs from microtears at the point where the plantar fascia connects to the heel bone, triggering inflammation. Risk factors for plantar fasciitis include excessive standing, increased body weight, aging, a sudden change in activity level, or tight calf muscles. A podiatrist can help by assessing your foot mechanics, recommending specific stretches for the calf and plantar fascia, and suggesting modifications in footwear and activity levels to reduce stress on the affected area. In most cases, non-surgical treatment is effective in relieving symptoms and improving function. If you have heel pain that may be caused by plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Achilles Tendonitis Recovery Solutions
Recovering from Achilles tendonitis can be a gradual process that requires patience and attention to your body’s signals. Returning to physical activities like running too early can lead to re-injury. For that reason, it is essential to wait until pain and stiffness are completely gone before resuming your normal routines. Once you are pain-free, start back by reducing both the mileage and frequency of your runs. Incorporate cross-training exercises, such as cycling or swimming, to help maintain fitness without putting stress on the Achilles tendon. Gradually build up your activity level to avoid overloading the tendon. A podiatrist can offer guidance on safe recovery exercises and assess whether custom orthotics or specific footwear might prevent future Achilles tendonitis problems. Regular check-ins are advised, as this foot doctor can identify any lingering issues and provide strategies to support long-term recovery. If you have sustained an Achilles tendon injury, it is suggested that you promptly schedule an appointment with a podiatrist.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
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Tips on Running More Comfortably With Flat Feet
Running with flat feet can present unique challenges, but with the right approach, it can still be an enjoyable and fulfilling activity. First, selecting appropriate footwear is vital. Look for shoes that offer excellent arch support and cushioning to help compensate for the lack of natural arch. Custom orthotics can provide added stability and comfort. It is also important to focus on proper running form, ensuring a midfoot strike rather than landing heavily on the heels. Gradually increasing mileage allows the body to adapt, reducing the risk of injury. Strengthening the muscles in the feet and lower legs through specific exercises can also improve support and function. Listening to the body and taking rest days when needed will help prevent discomfort. Some people experience pain and discomfort while running with flat feet. If this applies to you, it is suggested that you consult a podiatrist who can guide you on appropriate relief techniques.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Diabetic Foot Issues
Diabetes is a systemic condition that impacts the entire body, including the feet. Among the foot problems associated with diabetes are peripheral neuropathy, a type of nerve damage, and diabetic foot ulcers, which are open wounds that can become infected. Each year, between 40 and 60 million diabetic patients worldwide experience lower limb complications due to these issues. To prevent serious complications, it is important to remain vigilant about any changes in your feet. Perform daily inspections, paying close attention to cuts, scrapes, sores, discoloration, or unusual sensations. Early detection is important to manage and prevent more severe problems. If you notice any abnormalities or have concerns about your foot health, do not hesitate to seek medical care. A podiatrist can provide specialized treatment and guidance to help manage diabetes-related foot issues effectively. If you have diabetes, it is suggested that you are under the care of a podiatrist to ensure your feet stay healthy and protected.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Understanding Toenail Fungal Infections in Children
Fungal toenail infections in kids, also known as onychomycosis, occur when fungi grow in or under the nail, leading to discoloration, thickening, and brittleness. These infections thrive in warm and moist environments, making locker rooms, public pools, and tight-fitting shoes common sources of exposure. Children with weakened immune systems or those prone to athlete’s foot are more susceptible to fungal infections. If your child develops a fungal toenail infection, maintaining proper foot hygiene is essential. Keep their feet clean and dry, and ensure they wear breathable shoes and change socks regularly. If your child’s toenail becomes painful or if multiple nails are affected, it is suggested that you consult a podiatrist.
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 Richard P. Jacoby, DPM of Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Arthritis Can Cause Pain in the Feet and Ankles
If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.
