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Treating & Understanding Ingrown Toenails at Fix My Feet Podiatry

10/5/2024

At Fix My Feet Podiatry, we encounter ingrown toenail complaints daily, making them one of the most common conditions treated at our practice. An ingrown toenail, medically known as onychocryptosis, occurs when the edges or sides of a toenail grow into the surrounding skin, leading to pain, swelling, and often infection. While this condition typically affects the big toe, it can develop on any toe and can involve one or both sides of the nail.

What Causes Ingrown Toenails?

Ingrown toenails can be caused by a variety of factors. Improper nail trimming is one of the most common causes, especially when the corners of the nails are cut too short or rounded. Other contributors include:

Tight-fitting or improperly sized footwear that puts pressure on the toes.
Trauma or injury to the toe.
Fungal infections, which can thicken or widen the nail.
Genetic predisposition.
Foot structure issues, such as flat feet or excessive pronation.
Certain medications that may affect nail growth.

Symptoms to Watch For

Patients with ingrown toenails typically present with pain and tenderness around the affected nail. If left untreated, the condition can worsen, leading to severe pain, infection, and difficulty walking or engaging in physical activities.

The area may become red, swollen, and warm to the touch, and in some cases, pus may form if an infection has set in.

Treatment Options

At Fix My Feet Podiatry, we use both conservative and 'surgical' methods to treat ingrown toenails. We always tailor the treatment plan to the severity of the condition and the patient’s specific needs.

Conservative Ingrown Toenail Removal

This approach is typically the first line of treatment. It involves the ‘gentle’ removal of the offending nail piece that is digging into the skin. Trimming the nail properly can alleviate discomfort, but it’s important to note that at-home attempts to manage ingrown toenails can lead to infection or worsen the condition if not done correctly. Professional treatment ensures that the nail is trimmed in a way that prevents recurrence.

image by Birmingham Podiatry Clinic, 2022

Surgical Nail Wedge Resection (NWR) or Partial Nail Avulsion

For more severe or recurrent cases, a minor surgical procedure called a Nail Wedge Resection (NWR) may be recommended. This procedure, performed under local anaesthetic, involves removing a small wedge of the affected nail along with a portion of the underlying nail matrix (growth plate). A chemical agent called phenol is used to destroy the part of the nail matrix responsible for regrowth, offering a permanent solution to ingrown toenails. Importantly, the entire nail is not removed -just the problematic section.

image by Toronto Foot Care

Why Seek Treatment?
Many patients are hesitant to seek professional care for their ingrown toenails, either due to fear of discomfort or because they assume the condition will resolve on its own. However, ingrown toenails rarely improve without intervention and can lead to complications like infection, prolonged pain, and difficulty walking. Seeking timely and professional treatment is essential to avoid these complications and to ensure lasting relief.

At Fix My Feet Podiatry, we are highly skilled in managing ingrown toenails, offering both immediate pain relief and long-term solutions. Whether through conservative trimming techniques or minor surgical procedures like Nail Wedge Resection, we aim to provide the best possible outcomes for our patients.

Contact Us
If you’re experiencing symptoms of an ingrown toenail or have any concerns about your foot health, don’t hesitate to reach out. We are committed to providing effective, compassionate care to all of our patients.

You can contact our practice at 010 110 0171 to schedule an appointment or consultation.

Medical Pedicures (Medi-Pedi): Why Your Feet Deserve the Best Care

8/12/2024

When it comes to foot care, many people think of a standard pedicure - an experience focused on aesthetics, involving nail trimming, foot scrubbing, and perhaps a fresh coat of polish.
But what if your feet need more than just cosmetic care?
Enter the medical pedicure, or medi-pedi - a podiatry specialized treatment that prioritises the health and well-being of your feet.

What is a Medical Pedicure?

A medical pedicure, often referred to as a medi-pedi, is a comprehensive foot treatment performed by a podiatrist.
Unlike traditional pedicures, which focus mainly on the appearance of your feet, a medi-pedi addresses underlying foot health concerns.

Whether you're dealing with ingrown toenails, fungal infections, corns, calluses, or cracked heels, a medical pedicure is designed to treat these issues and more.

For anyone with specific foot health needs or those looking to maintain healthy feet, a medical pedicure offers a safe and effective solution.

How Does a Medical Pedicure Differ from a Traditional Pedicure?

Performed by a podiatrist: A medical pedicure is performed by a podiatrist - a healthcare professional specializing in foot care. This ensures that the treatment is not only thorough but also medically sound, addressing any potential or existing foot health issues.
Sterile and safe environment: Medical pedicures are carried out in a sterile environment using medical-grade instruments. This significantly reduces the risk of infections and ensures a safe procedure, especially for individuals with compromised immune systems or conditions like diabetes.
Tailored to your needs: Every medical pedicure is customized to address your specific foot health needs. Whether you're dealing with persistent corns, thickened nails, or foot pain, the treatment is designed to provide relief and improve the overall health of your feet.
Focus on health, not only aesthetics: The primary goal of a medical pedicure is to enhance the health and functionality of your feet. While your feet will certainly look better after the treatment, the emphasis is on resolving medical issues rather than purely cosmetic enhancements. Services such as nail painting and massages are left to beauty salons.

What to Expect During a Medical Pedicure

At Fix My Feet Podiatry, a medical pedicure is a thorough, health-focused treatment that involves several key steps:

Comprehensive foot examination: Your podiatrist begins with an assessment of your feet, identifying existing conditions such as fungal infections, ingrown toenails, or areas of hard skin.
Nail care and treatment: Nails are carefully trimmed and shaped to prevent problems like ingrown toenails. If there are issues like fungal infections or thickened nails, these are treated as part of the service.
Callus and corn removal: Hard skin, calluses, and corns can cause discomfort and pain. Using sterile instruments, your podiatrist will remove these areas, alleviating pressure and preventing further complications.
Cracked heel treatment: If you suffer from dry, cracked heels, your podiatrist will treat the affected areas to promote healing and restore smooth, healthy skin.
Skin care: Your podiatrist will give advice and recommendations of medical-grade foot moisturizers to hydrate and protect your skin, leaving your feet feeling soft and rejuvenated.
Personalized aftercare advice: To help you maintain the health of your feet, your podiatrist will provide personalized advice on foot care at home. This may include tips on proper hygiene, suitable footwear, and recommendations for follow-up treatments if necessary.

Who can benefit from a medical pedicure?

A medical pedicure is beneficial for anyone who wants to prioritize their foot health. However, it’s particularly recommended for:

People with diabetes: Diabetes increases the risk of foot complications, making regular medical pedicures essential for managing and preventing issues like ulcers and infections.
Individuals with foot conditions: If you suffer from conditions such as ingrown toenails, fungal infections, or severe calluses, a medical pedicure can provide effective treatment and relief.
Athletes and active individuals: Those who are physically active or spend a lot of time on their feet can benefit from a medical pedicure, which helps manage the wear and tear that comes with an active lifestyle.
Anyone seeking preventive care: Even if your feet are currently healthy, a medical pedicure can help maintain that health, preventing future problems and ensuring your feet remain in top condition.

Why Choose Fix My Feet Podiatry for your medical pedicure?

At Fix My Feet Podiatry, we provide the highest standard of foot care. Our medical pedicures are conducted by experienced podiatrists in a safe, sterile environment, ensuring that your feet receive the best possible care. We tailor each treatment to meet your specific needs, whether you’re dealing with a particular issue or simply want to keep your feet in optimal health.

Don’t leave your foot care to chance. Schedule your medical pedicure with Fix My Feet Podiatry today and experience the difference that professional, health-focused foot care can make.
Your feet will thank you!

Preventing and Treating Common Foot Problems

7/8/2024

With summer only a few weeks away, it's the perfect time to prepare your feet for increased outdoor activity.

Here are some essential tips to keep your feet healthy and comfortable throughout the season:

Footwear Tips for Summer

Choosing the right footwear is crucial to prevent common summer foot problems like blisters, arch pain, and calluses.

Opt for sandals and shoes that offer good arch support and have cushioned soles. Avoid wearing flip-flops for extended periods, as they lack support and can lead to foot strain.
Look for breathable materials to keep your feet cool and reduce the risk of blisters. If you do get a blister, clean it with mild soap and water, apply an antibiotic ointment, and cover it with a bandage.

Managing Sweaty Feet

Hot weather can lead to sweaty feet, increasing the risk of fungal infections like athlete's foot.

To keep your feet dry, choose moisture-wicking socks made from synthetic materials or merino wool. Change your socks frequently, especially after exercise.

Use foot powders or antiperspirant sprays designed for feet to reduce sweating. If you suspect a fungal infection, keep your feet clean and dry, and apply an over-the-counter antifungal cream.

Dealing with Swelling

Swelling in the feet and ankles is common during summer due to heat and increased activity.

To reduce swelling, elevate your feet whenever possible and stay hydrated by drinking plenty of water.

Compression socks can also help improve circulation and reduce swelling.

Avoid standing or sitting for prolonged periods and take breaks to move around and stretch your legs.

First Aid for Minor Injuries

Summer activities can sometimes lead to minor injuries like cuts, scrapes, and insect bites. Clean any wounds promptly with mild soap and water, apply an antibiotic ointment, and cover them with a sterile bandage.

For insect bites, clean the area and apply a hydrocortisone cream to reduce itching and swelling.

Keep an eye on any injuries for signs of infection, such as redness, swelling, or pus, and seek medical attention if necessary.

By taking a few preventative measures now can save you from discomfort and potential foot problems later on.

The Benefits of Custom Orthotics

7/6/2024

Custom orthotics can significantly benefit both everyday individuals and athletes, enhancing foot health, performance and preventing injuries.

At Fix My Feet Podiatry, we specialize in creating custom orthotics tailored to each individuals’ unique needs.

This month, we’re highlighting how custom orthotics can benefit individuals in various ways:

How Custom Orthotics Work

Custom orthotics are specially designed shoe inserts that support and align the feet. Unlike over-the-counter insoles, custom orthotics are crafted based on a detailed analysis of your foot structure and biomechanics. They work by redistributing pressure, correcting imbalances, and providing the necessary support to prevent excessive movement that can lead to injuries.

Injury Prevention

One of the primary benefits of custom orthotics is injury prevention. Sport enthusiasts are prone to a variety of sports-related injuries, such as plantar fasciitis, shin splints, and knee pain. Custom orthotics help mitigate these risks by providing the right support and alignment. They cushion impact forces, stabilize the foot and ankle, and reduce strain on muscles and ligaments, thereby lowering the chances of injury.

Improving Performance

Beyond injury prevention, custom orthotics can improve athletic performance. By offering better foot support and alignment, orthotics can enhance balance and stability. This improved foundation allows athletes to perform at their best, reducing fatigue and increasing efficiency. Custom orthotics can also help correct gait abnormalities, leading to smoother and more powerful movements.

Success Stories

Many athletes have experienced the transformative benefits of custom orthotics from Fix My Feet Podiatry. For instance, one of our clients, a marathon runner, struggled with chronic knee pain that hindered his training. After being fitted with custom orthotics, he not only found relief from pain but also noticed an improvement in his running form and endurance.

Another client, a soccer player, experienced frequent shin splints. With custom orthotics, he was able to train and play without discomfort, ultimately enhancing his performance on the field.

These success stories highlight the positive impact that custom orthotics can have on an athlete's life. Whether you're a work-professional, athlete or a weekend warrior, custom orthotics can provide the support you need to stay injury-free and perform at your best.

At Fix My Feet Podiatry, we are committed to helping you achieve your goals through personalized care and advanced podiatric solutions.

If you’re interested in learning more about how custom orthotics can benefit you, contact us today to schedule a consultation.

Falls Prevention Awareness

6/11/2024

As your trusted podiatrists, it’s imperative for us to address topics that not only promote your foot health but also safeguard your overall well-being.

Falls rank as the primary cause of injuries and fatalities among elders. Shockingly, one in five falls leads to severe injuries like fractures or traumatic brain injuries, with one in four older Americans succumbing to hip fractures within six months.

The consequences of falls extend far beyond physical injuries; they can erode independence and drastically reduce quality of life.

Fear of falling often prompts individuals to limit their activities, resulting in physical decline and increased vulnerability to future falls.

While various factors contribute to falls in individuals aged 65 and older, it’s crucial to highlight the significant role that foot and ankle health play in preventing such incidents.

Pain or dysfunction in the feet and ankles can profoundly impact balance and stability, leading to a higher risk of falls.

Conditions such as heel, ankle, and arch pain, as well as deformities like hammertoes and bunions, can alter walking patterns and compromise stability.

Moreover, systemic diseases like diabetes and osteoporosis, along with seemingly minor issues such as corns and calluses, can exacerbate these risks.

Inappropriate footwear further compounds the problem, reducing traction and exacerbating pain or deformities. Ill-fitting shoes not only compromise comfort but also contribute to clumsiness and instability, increasing the likelihood of falls.

The good news is that podiatric interventions can significantly mitigate these risks.
Our team is equipped to provide comprehensive evaluations, diagnoses, and effective treatments for foot and ankle issues.
By addressing pain and dysfunction early on, we can help prevent falls and preserve your independence.
We encourage you to prioritize your foot health by scheduling regular podiatric exams as part of your healthcare regimen.
Remember, foot and ankle pain is not an inevitable consequence of aging.
Together, we can work towards maintaining your mobility, confidence, and independence.
If you or a loved one is experiencing foot or ankle pain, don’t hesitate to contact us. Let’s take proactive steps towards preventing falls and safeguarding your well-being.

When the Ball of Your Foot Is Giving You Grief

6/3/2024

Metatarsalgia: Understanding and Addressing Forefoot Pain

Metatarsalgia, a term encompassing pain in the ball of the foot, can be a distressing condition impacting your daily life. Situated just behind the toes, this area houses the metatarsophalangeal (MTP) joints, where the five metatarsal bones converge with the toes.

Understanding Metatarsalgia
Metatarsalgia often arises due to prolonged or excessive pressure on the MTP joints (metatarsophalangeal joints), leading to inflammation and discomfort. While a sudden increase in workout intensity or duration can trigger acute metatarsalgia, it more commonly develops gradually over time.

Symptoms and Causes
The symptoms of metatarsalgia vary, ranging from sharp stabbing or burning pain to tingling sensations or a feeling akin to walking with a pebble in your shoe. Activities such as running, basketball, or tennis, which exert significant force on the MTP joints, are common culprits.

Additionally, wearing high heels, narrow-toed shoes, or footwear lacking sufficient cushioning can exacerbate the condition. Other contributing factors include foot abnormalities like hammertoes or bunions, high arches, calluses, arthritis, and even the relative length of the second toe.

Addressing Metatarsalgia
While metatarsalgia can significantly impact your quality of life, the encouraging news is that it can often be effectively managed with conservative measures.

Treatment Options
Seeking professional evaluation, diagnosis, and treatment is crucial if you're experiencing discomfort in the ball of your foot. At our practice, we offer comprehensive assessments to determine the underlying cause of your metatarsalgia and tailor treatment plans to your specific needs.

Preventive Measures
In addition to treating existing symptoms, we also emphasize preventive strategies to mitigate the risk of future discomfort. These may include footwear modifications, orthotic inserts, exercises to strengthen foot muscles, and lifestyle adjustments to reduce pressure on the MTP joints.

If you're grappling with discomfort in the ball of your foot, don't let it disrupt your life any longer. Schedule an appointment with our office for a thorough evaluation and personalized treatment plan. With our expertise and commitment to your well-being, we'll help you take confident strides towards lasting relief from metatarsalgia.

We look forward to supporting you on your journey to foot health and overall wellness.

Heard Of A Plantar Plate Ligament Tear?

5/13/2024

Forefoot Pain Under the Toe Area? Heard Of A Plantar Plate Ligament Tear?
A Guide to Diagnosis and Treatment

When it comes to forefoot injuries, one term that may send shivers down your spine is a "plantar plate ligament tear." It can be painful and debilitating if left untreated.

What is a Plantar Plate Tear?
Imagine your foot as a well-oiled machine, with various ligaments, tendons, and bones working seamlessly together to support your weight and facilitate movement.

Among these essential components are the plantar plate ligaments, responsible for stabilizing the metatarsophalangeal (MTP) joints, particularly in the lesser toes.

When these ligaments become stretched or torn, it results in what we call a plantar plate tear.

So, how do you know if you've experienced a plantar plate tear?

The symptoms can be quite telling.

Typically, pain and swelling may develop in the ball of the foot, extending to the affected toe.
You may notice increased discomfort when bending the toe upward, and in some cases, the toe may appear to "pop up", or drift to the side, forming a distinctive "V" shape with its neighbouring toe.

Interestingly, the second toe is often the most susceptible to this type of injury.

Several factors contribute to the development of these injuries.

Bunions, for example, can exert abnormal stress on the plantar plate of the second toe, increasing the risk of damage.

Additionally, activities that involve repetitive stress on the foot, such as excessive pronation, wearing high-heeled shoes, or participating in certain sports, can also predispose individuals to plantar plate dysfunction.

Furthermore, a single traumatic event, such as a sudden impact or twist, can lead to an acute tear of the plantar plate.

Prompt intervention can prevent the injury from becoming chronic and minimize the risk of complications such as hammertoes and arthritis.

In the early stages, conservative measures, including rest, ice, physical therapy with strengthening exercises, toe taping, and the use of orthotic devices, can often yield excellent results in terms of pain relief and functional improvement.

Delaying treatment may necessitate more invasive interventions, such as surgery, followed by a period of immobilization in a walking boot.

If you suspect you may have experienced a plantar plate tear or are experiencing persistent forefoot pain, don't hesitate to seek professional medical advice.

Early intervention is key to a speedy recovery and a return to pain-free mobility.
We're here to help guide you on your journey to optimal foot health.

Enjoying Your Holiday Without Heel Pain: Tips for Travelers

5/5/2024

Vacations are meant for unwinding and exploring new horizons, but for those struggling with heel pain, the thought of travel can be daunting.
However, with the right preparation and knowledge, you can ensure that heel pain doesn't crash your travel party.

I will walk you through practical steps to manage heel pain while on holiday, ensuring you can make the most of your time away without discomfort.

Rest and Elevate: Heel pain can strike unexpectedly, but when it does, remember to prioritize rest and elevation.

Find a spot to sit or lie down, and prop your foot up to reduce pressure and inflammation.

Taking regular breaks throughout the day to rest and elevate your foot can prevent the pain from escalating, allowing your body the time it needs to recuperate.

Apply Ice: When heel pain flares up, ice can be your best friend.
Packing an ice pack/ frozen water bottle, or improvising with a plastic bag filled with ice cubes wrapped in a towel can provide much-needed relief.

Apply the ice pack to the affected area for around 15 minutes, several times a day.

Remember to wrap it in a cloth to protect your skin from direct contact, ensuring a safe and effective cooling therapy.

Supportive Footwear: The importance of proper footwear cannot be overstated when it comes to managing heel pain, especially while on holiday.

Select shoes with cushioning and good arch support to alleviate pressure on your heels.

Leave unsupportive flip-flops and high heels at home, as they can exacerbate the pain.

If needed, shoe inserts or custom orthotics for added comfort and support, ensuring your feet stay happy and pain-free throughout your travels.

Stretching and Strengthening Exercises: Incorporating foot and calf muscle stretching and strengthening exercises into your daily routine can work wonders for alleviating heel pain.

While on holiday, take a few minutes each day to stretch your calf muscles and the plantar fascia - the band of tissue connecting your heel to your toes.

Additionally, engaging in gentle exercises like toe curls and ankle rotations can help strengthen the muscles supporting your feet, reducing the risk of discomfort during your travels.

Over-the-Counter Pain Relief: For temporary relief from heel pain, over-the-counter pain medications like nonsteroidal anti-inflammatory drugs (NSAIDs) can be helpful.

Packing a small supply of NSAIDs such as ibuprofen ensures you have access to pain management while on the go.
Adhere to the recommended dosage instructions and consult with medical professionals if you have any underlying health concerns.

Contact Our Podiatry Team for Medical Assistance: If heel pain persists or worsens despite self-care measures, reach out to our team for assistance.

We're here to assess your condition and provide appropriate treatment options, ensuring you can enjoy your holiday to the fullest.

Preparation is key, so don't hesitate to reach out to our team for personalized advice and assistance. With the right approach, you can bid farewell to heel pain and say hello to carefree travels ahead.

When the Joint Gets Bent Out of Shape: Understanding Bunions

4/15/2024

Bunions – a common foot deformity that can impact your comfort and daily activities.

What is a Bunion?

A bunion is a deformity of the metatarsophalangeal (MTP) joint, located at the base of the big toe.
A bunion occurs when the first metatarsal bone turns outward, causing the big toe to point inward and resulting in the formation of an infamous bump.

Causes and Predisposing Factors

Foot structure plays a significant role in bunion formation, with inherited factors such as flat feet, low arches, and loose tendons contributing to the condition.

Both men and women are equally predisposed, but women tend to develop bunions more frequently due to weaker connective tissue and footwear choices, such as high heels that exert excessive pressure on the front of the foot.

Other Contributing Factors

Occupations that involve prolonged standing or walking, previous foot or ankle injuries, arthritic conditions affecting the MTP joint, and hormonal changes during pregnancy can also contribute to bunion development.

Symptoms and Impact

Bunions can make wearing shoes uncomfortable or painful, leading to foot abnormalities like hammertoes, corns, calluses, or ball-of-the-foot pain. They can significantly impact your quality of life by interfering with daily activities.

Treatment Options

While many bunions can be managed with conservative measures such as

proper fitting footwear,
padding,
orthotics,
foot & ankle muscle and tendon strengthening exercises, and
pain management techniques,
surgical intervention, may be necessary in cases where pain persists and quality of life is affected.

It's essential to address bunions promptly to prevent complications and ensure optimal outcomes.

Schedule an Examination

If you're experiencing bunion-related problems or discomfort, we encourage you to schedule an examination.

We will assess your condition and recommend treatment options to alleviate your symptoms and improve your foot health.

Fungal Toenails Require a Winter Head Start

4/10/2024

As we transition into winter, it's essential to address a common concern that affects many individuals: toenail fungus, also known as onychomycosis.

This fungal infection can lead to unsightly and uncomfortable symptoms, making it crucial to start treatment early for a smooth recovery by the summer months.

Toenail fungus often begins with subtle signs such as white or yellowish dots beneath the nail tip.
Early intervention at this stage significantly improves the chances of successful treatment. Ignoring these initial indicators can lead to further complications such as thickened, discoloured, and brittle nails that may emit a foul odor and cause pain around the nail plate.

It's important to note that hiding fungal nails with polish is not a solution; in fact, it can exacerbate the problem and increase the risk of spreading the infection to neighbouring nails, between the toes, and even to other individuals.

Fungi thrive in warm, moist environments, making feet vulnerable to invasion through microscopic abrasions.

To minimize the risk of toenail fungus:

Change wet shoes and socks throughout the day.
Treat/ disinfect shoes with antifungal sprays and powders. Contact us to find out about our prefered disinfecting product, which can be purchased at our offices.
Rotate shoes daily to ensure they dry completely.
Wash your feet daily to maintain hygiene.

Effective treatments for toenail fungus include:

prescription topical and oral medications,
laser therapy, www.lasernailclinic.co.za and
medical-grade resin nail applications.

Over-the-counter remedies are generally ineffective against stubborn fungal infections, but worth a try in milder nail fungal infection cases..

Winter presents an optimal opportunity for nail fungal treatment as feet are often enclosed in shoes, allowing for uninterrupted healing. Don't let toenail fungus hinder your summer activities.
Contact our office today to schedule treatment and ensure your toes are summer-ready!

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