Tuesday, 18 February 2025 00:00

Causes and Risk Factors for Ingrown Toenails

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin, causing pain, redness, and swelling. This condition most commonly affects the big toe but can occur on any toe. The primary cause of an ingrown toenail is improper nail trimming, especially cutting the nails too short or rounding the edges. Wearing tight shoes that squeeze the toes together can also contribute, increasing pressure on the toenails. Several risk factors can make a person more prone to developing an ingrown toenail, including poor foot hygiene, a family history of the condition, and injuries to the toe. Symptoms of an ingrown toenail typically include pain, tenderness, swelling, and sometimes an infection surrounding the nail. In severe cases, pus may form, and the area may become red and inflamed. If you have symptoms of an ingrown toenail, it is suggested that you promptly consult a podiatrist who can offer you appropriate treatment solutions.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. John Branwell of Kearny, New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

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Tuesday, 18 February 2025 00:00

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Tuesday, 11 February 2025 00:00

Symptoms and Treatment of Bunions

A bunion is a bony enlargement that develops at the base of the big toe, often caused when the top of the toe angles toward the others. This misalignment can lead to pain, swelling, redness, and difficulty walking. Other symptoms include irritated skin over the bump or stiffness in the joint. Bunions can develop due to genetics, foot structure, or wearing shoes like high heels that squeeze the toes or shift weight toward the forefoot. Bunions are diagnosed through physical examination, questions about symptoms and footwear, and sometimes X-rays to assess the joint’s alignment. Treatment focuses on reducing discomfort and improving foot function. A podiatrist can recommend footwear that minimizes pressure, as well as prescribe orthotic devices like splints or pads to improve alignment and provide cushioning. In more severe cases, this foot doctor may discuss surgery to restore joint alignment. If you have a problematic bunion, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

If you are suffering from bunions, contact Dr. John Branwell of Kearny, New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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

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Tuesday, 11 February 2025 00:00

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out.  As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis. 

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

Sunday, 09 February 2025 00:00

Wounds That Don't Heal Need to Be Checked

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, 04 February 2025 00:00

How Rheumatoid and Osteoarthritis Differ

Rheumatoid arthritis, or RA, and osteoarthritis, OA, both affect the joints of the feet, toes, and ankles, but are distinct in their causes and progression. RA is a disorder where the immune system attacks the lining of the joints, leading to inflammation, pain, and stiffness that can affect both feet symmetrically. Over time, this can result in joint deformities and decreased mobility. OA is a degenerative condition caused by the breakdown of cartilage, leading to bones rubbing against each other. This wear and tear often results in extreme pain, swelling, and the development of bony growths, which may affect one foot more than the other. Risk factors for RA include family history and being female, while OA is more common with age, obesity, or previous joint injuries. A podiatrist can manage arthritis in the feet, by determining the type of arthritis, recommending appropriate footwear, and suggesting options to reduce pain and preserve joint function. If you have foot problems resulting from arthritis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. John Branwell of Kearny, New Jersey. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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

Read more about Rheumatoid Arthritis in the Feet
Tuesday, 04 February 2025 00:00

Rheumatoid Arthritis in the Feet

Rheumatoid Arthritis is a chronic progressive disease that attacks several joints throughout the body. It is an autoimmune disease in which the body’s immune system mistakenly attacks the joints. As a result, the tissue inside the joints, called synovium, starts to thicken and causes pain around the joints. The synovium is responsible for creating a fluid that lubricates the joints to help them move. Approximately 1.5 million people in the United States have Rheumatoid Arthritis. Women are almost three times as likely to have RA compared to men, and it’s disease usually begins between the ages of 30 and 60. People who have a genetic history of RA are more likely to develop the disease.

Symptoms of RA may include the following sensations in the joints: pain, tenderness, swelling, redness, warmth, stiffness, and loss of range. Swollen joints are a very common symptom for those with the disease. At times, it may be minimal, but it may also be very apparent. Another typical symptom is joint stiffness. Doctors will often use the direction of morning stiffness to measure the severity of a patient’s joint inflammation. Other RA symptoms include limping, anemia, fever, and fatigue.

To diagnose RA, your podiatrist will typically request x-rays to see how much damage there is in the joints. Blood tests may also be performed to show if there are any signs of anemia, or antibodies such as the rheumatoid factor. If you have previously been diagnosed with RA, you should know the disease may spread to your feet and ankles.

There are many non-surgical options that can be used to treat this ailment. Some of these options include physical therapy, foot massages, orthotics, bracing, supportive shoes, and steroid injections. Physical therapy is useful because it will help stretch and strengthen the joints in both the foot and ankle to improve joint function. Massages can help improve blood circulation which will be good for the feet. Choosing proper footwear will allow you to walk with comfortability if you are a sufferer from RA. Lastly, bracing will help stabilize the foot joints, limit deformities and decrease pain.

In severe cases, surgery may be a treatment option that should be considered. For those who cannot walk without experiencing pain and those whose deformities can not be managed with braces, surgery should be considered. Your podiatrist will recommend surgery if he or she believes it will improve your foot biomechanics.

Tuesday, 28 January 2025 00:00

Jones Fracture Symptoms

A Jones fracture refers to a break or crack in the fifth metatarsal bone, located on the outer side of the foot near the ankle. Symptoms typically include pain, swelling, bruising, tenderness on the outer part of the foot, and difficulty walking. Diagnosis usually involves a visit to a podiatrist, who will perform a physical examination, review the symptoms, and take a detailed medical history. To confirm the fracture, imaging tests like X-rays are commonly used. Treatment options depend on the severity of the fracture. For minor cases, rest, mild pain relievers, and possibly a cast or splint may be recommended. Crutches could also be necessary to help avoid putting weight on the affected foot. In more severe cases, surgery may be required to properly heal the bone. Full recovery can take several months, so it is important to allow enough time for the bone to heal completely to prevent further injury. If you suspect you have a Jones fracture, it is suggested that you consult a podiatrist for an accurate diagnosis and personalized treatment plan.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. John Branwell from Kearny, New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

Read more about Causes, Symptoms, and Treatment for a Broken Foot

The human foot has 26 different bones, and the foot is divided into three parts: the hindfoot, the midfoot, and the forefoot. Each section of the foot is composed of a different amount of bones. For instance, the forefoot is made up of 19 bones. The midfoot is composed of five smaller bones called the navicular, cuboid, and three cuneiform bones. Lastly, the hindfoot is made up of only the talus and the calcaneus. The feet tend to be vulnerable to slipping and twisting; consequently, fractured bones within the foot are common. When a bone gets crushed, bent, twisted, or stretched it may become broken.

Many foot fractures occur through an accident or trauma. More specifically, common causes for broken feet are car accidents, falls, missteps, or overuse. If you have a broken ankle or foot, you may have one or more of the following symptoms: throbbing pain, swelling, bruising, tenderness, deformities, and difficulty walking.

There are some factors that may put you at a higher risk of developing a broken foot. People who participate in high-impact sports are more likely to develop foot fractures because of the stresses, direct blows, and twisting injuries involved in gameplay. Additionally, those who suddenly increase their activity level are more likely to suffer a stress fracture.

Unfortunately, there are different complications that may arise because of a foot fracture. For instance, arthritis may be caused by fractures that extend into the joints. Bone infections are also possible in open fractures due to the bone being exposed to bacteria. However, there are ways you can help prevent yourself from breaking your foot. One way to avoid fractures is to wear proper footwear. If you plan on going on a run, you should wear running shoes. You should also replace your shoes if you notice that they are becoming worn out. For runners, it is best to replace shoes every 300 to 400 miles.

Treatment for foot fractures usually consists of rest, ice, elevation, and compression (RICE). If you plan on wrapping your foot, try not to wrap it too tightly because doing so may cut off blood supply in the foot. You should also avoid walking on the fractured foot.

If you suspect you have a broken foot, you should see your podiatrist right away. It is important that you have someone bring you to your doctor, since driving with a broken foot can be dangerous. You should especially seek urgent care if you are experiencing numbness, pain, or deformities in your foot.

Foot pain can stem from various conditions, including plantar fasciitis, bunions, flat feet, arthritis, or injuries like sprains and fractures. Even seemingly minor discomfort can significantly impact daily activities, affecting mobility, balance, and overall quality of life. Chronic foot pain may also lead to compensation issues, causing pain in the knees, hips, or back. Ignoring persistent pain can worsen underlying conditions, making treatment more complex. Addressing foot pain begins with identifying the cause. Rest, proper footwear, and targeted stretching exercises can help in mild cases. Custom orthotics or surgical intervention may be necessary for persistent or severe pain. Early intervention is key to preventing long-term complications. If foot pain disrupts your routine, it is suggested that you consult a podiatrist for an accurate diagnosis and an effective treatment plan tailored to your needs.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. John Branwell from Kearny, New Jersey. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

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