Posts for category: Podiatry
A bunion is an abnormal, bony prominence that develops on the joint at the base of your big toe. As the big toe joint becomes enlarged, it forces the toe to crowd against your other toes, and the pressure exerted on your big toe joint results in inflammation and pain. Early treatment is necessary to decrease the risk of developing joint deformities.
Bunions develop due to prolonged abnormal pressure or motion on your big toe joint, most often caused by inherited structural defects, poor-fitting shoes, foot injuries, or congenital deformities. Women are generally more prone to bunions because of the shoe types typically worn, such as high-heels and narrow-toed shoes.
Bunion pain can range from mild to severe, often making it difficult to wear shoes and perform normal activities. You should contact our office if you notice the following symptoms:
- An enlarged, visible bulge on your big toe joint
- Restricted movement of your big toe or foot that prevents you from performing normal activities
- Irritation, corns or calluses caused by the overlap of the first and second toes
- Frequent pain, swelling or redness around your big toe joint
Treatment For a Bunion
Treatment for a bunion will vary depending on its severity. Identifying the condition in its early stages is important to avoid surgery, with the main objective of early treatment being to relieve pressure and stop the progression of the deformity. Many times conservative treatments, such as padding, modified footwear or orthotic devices can be highly effective for preventing further growth and reducing the pressure and pain.
We recommend the following for reducing pressure and pain caused by bunions:
- Wear comfortable shoes that don't cramp or irritate your toes and avoid high-heeled shoes
- Apply ice to reduce inflammation and pain
- Our podiatrists can show you how to apply padding to your foot to place it in its normal position and reduce stress on the bunion
When early treatments fail or the persistent pain associated with your bunion is interfering with your daily activities, a surgical procedure may be recommended as a last resort to realign the toe joint and alleviate the pressure. We can advise you on the best treatment options available to relieve pressure on the bunion and slow the progression of the joint deformity.
Managing your bunion symptoms doesn’t have to be difficult.
Dealing with a bunion? Don’t worry; you aren’t alone. This foot deformity might not be noticeable at first or cause you any issues, but if it continues to progress then at some point you might find yourself dealing with bunion swelling and pain. Luckily, our Asheville, NC, podiatrist Dr. Daniel Waldman is here to offer up ways to manage your symptoms and prevent them from flaring up.
Surgery isn't always necessary unless you are dealing with a bunion that is so severe that it affects your daily life. Otherwise, there are conservative treatments for bunions:
Our Asheville, NC, foot doctor can help you determine the best types of shoes. Certain shoes can actually make this common foot deformity worse. Here are some rules to follow when it comes to choosing the right shoes,
Do not choose shoes that are too tight. This might seem like an obvious piece of advice but it’s not as obvious as you might think. It’s important to note that a lot of people buy shoes that are a little too tight thinking that there is a “breaking in” period. There is no such thing. If the shoes don’t fit properly the first time you try them then you need to choose a different size or style.
Your toes should also never be bunched up in the shoes you wear. Shoes that have a pointed toe or have a narrow toe bed are more likely to cause symptoms to flare-up since they put pressure on the bunion and also scrunch toes up. Make sure that whatever shoes you are wearing allow your toes the freedom to wiggle and move around.
Shoes should also provide your feet with enough stabilization, cushioning and support. In some instances, you may benefit from getting custom orthotics (shoe inserts) from our podiatrist Dr. Waldman.
If your bunion is severe or isn’t responding to conservative treatment options then it might be time to consider turning to Blue Ridge Foot Centers in Asheville to figure out the next step. Don’t let bunion pain dictate your life. We can help!
That hard bump on the outside of your little toe is getting bigger. You feel a lot of friction between your toe and your shoe, and you just want it to stop. Why not come to Blue Ridge Foot Centers in Asheville, NC and let Dr. Daniel Waldman take a look? One of the more common foot issues is corns, and Dr. Waldman can rid you of these nuisances more easily than you may think.
What is a corn?
It can be either a hard or soft skin bump on the bottom or side of the foot or on the toes--usually the vulnerable little toes. Constant rubbing and pressure from snugly fitting shoes or bunched up socks frequently cause corns, as do toe deformities such as hammertoes and inflammatory conditions such as arthritis.
The American Academy of Dermatology states that some corns gradually reduce in size or completely disappear all by themselves. However, to be sure that what you have truly is a corn, you should see Dr. Waldman for accurate diagnosis and treatment of corns.
Treating and diagnosis
Dr. Waldman diagnoses corns by simply looking at them. Also, he'll discuss your footwear habits (high heels put too much pressure on the toes) and your symptoms. Also, he'll examine your foot structure to look for bone spurs, claw feet and hammertoes which are risk factors for the formation of corns.
To treat corns, your podiatrist may recommend:
- Footwear with wider toe boxes
- Shoe padding to alleviate fricion
- Over the counter salicylic acid and other corn removal preparations
- Painless mechanical reduction of the corn with a scalpel (Dr. Waldman does this in the office and doesn't advise do-it-yourself surgery)
- Moisturizers applied daily to the feet and toes (they control the build-up of dead skin, especially in the areas prone to corns)
Have healthy, happy feet in Asheville
Your podiatric health is so important. It indicates skin, bone, joint and circulatory function, and your feet keep you active and moving. If you're troubled by corns or other conditions of the feet and ankles, please contact Blue Ridge Foot Centers in Asheville, NC for a consultation with Dr. Waldman. He offers same-day appointments Monday through Thursday for your convenience. Call 828-254-5371.
What your podiatrist in Asheville wants you to know about heel pain
If you are struggling from heel pain, it’s difficult to know what to do. The stabbing, aching pain in your feet can keep you from enjoying your life. Fortunately, there is help for heel pain. Dr. Daniel Waldman at Blue Ridge Foot Centers in Asheville, NC wants to share how he can help you get relief from heel pain.
There are some factors that can make you more prone to heel pain, including if you:
- Have flat feet or are a diabetic
- Are pregnant or carry excess weight
- Wear tight, constricting shoes or high heels
- Participate in high impact sports or activities
One of the most common causes of heel pain is plantar fasciitis. The plantar fascia is a large band of tissue running across your heel and when it is inflamed, it swells, causing heel pressure and pain. You can also develop heel pain from bruising your heel by stepping on sharp objects, or from bone spurs, caused by excess calcium deposits on your heel.
If you develop heel pain from plantar fasciitis or another cause, you can try these gentle, home remedies:
- Taking the weight off your feet and resting
- Taking over-the-counter anti-inflammatory or pain medications
If you’ve tried home remedies and still have stubborn heel pain, it’s time to visit Dr. Waldman. He will recommend professional therapies like these:
- Night splints to stretch your arches
- Custom orthotics to cushion your heel
- Cushions and supports to protect your heel
- Physical therapy to increase flexibility
- Extracorporeal Shock Wave Treatment (ESWT)
- Cortisone injections to decrease inflammation in your heel
- Prescription strength medications to reduce pain and inflammation
If you are struggling with heel pain, your podiatrist can help. It’s time to get relief by calling an expert like Dr. Waldman at Blue Ridge Foot Centers in Asheville, NC. Call today and take care of your feet!
An ingrown toenail is a common and painful condition of the toes. It occurs when one or both sides of the nail break grow into the skin of the toe, rather than over it. As a result, the irritated skin becomes painful, red and swollen. Fortunately, when detected early, an ingrown toenail can generally be treated effectively from home. But when left untreated, an ingrown toenail is prone to infection, as bacteria can enter your body via the penetrated skin. Professional treatment from your podiatrist is necessary to treat the infection.
Self-Care for Ingrown Toenails
Regardless of the cause, understanding how to care for an ingrown toenail can go a long way to help prevent painful infections. In its earliest stage, an ingrown toenail can generally be cared for and successfully treated from home. For non-infected nails:
- Soak your foot in warm water several times a day to relieve swelling and soreness.
- Wash and dry your foot to keep the affected area clean.
- Wear comfortable footwear with a wide toe box, or sandals when weather permits.
- Avoid cutting the nail, as this can make the condition worse.
- Over-the-counter medications may temporarily ease the pain, though they don’t heal the underlying problem.
Conservative treatments won’t always be successful. When excessive swelling, pain or discharge is present, the toenail is most likely infected and should be treated by your podiatrist. If you have diabetes or nerve damage, avoid home treatment and see your podiatrist for safe and professional care.
Preventing Ingrown Toenails is Easy
With a few simple precautions, you can easily prevent ingrown toenails.
- Wear properly fitting shoes and socks that allow for adequate toe room.
- Trim your toenails straight across, and avoid cutting them too short.
- Keep your feet clean and dry, as this prevents bacteria formation.
Ingrown toenails are a very common condition of the toes. The key to avoiding ingrown toenails is to prevent them from occurring in the first place. Your podiatrist can administer treatment, such as an oral antibiotic or a minor surgical procedure, to stop the pain and remove the infection. Call today to schedule an appointment!