Toenail fungus is a frustrating and embarrassing problem for many people. It can be persistent and hard to get rid of. Thankfully, there are a number of options for treatment available.

The most effective treatment for toenail fungus is Lamisil. However, any anti-fungal treatment sold to get rid of athlete's foot can also be used. In the ingredients list on products sold to kill fungal growth on the body, look for the ingredient terbinafine. Terbinafine is a chemical product that kills fungal growths. Using a product with terbinafine in it will essentially damage the cell membrane of the fungus organism. However, don't expect immediate results. You will need to apply the medication regularly, and make sure to keep washing the affected area and drying it thoroughly. The fungus needs moisture, air and your skin to live.

Taking other precautions can also help with fungus. Use a powder such as talcum powder in the shoes to absorb sweat and moisture. It is also important to wear sandals or loose-fitting, open-toed shoes which will improve air-flow around the feet, keeping the feet dry. These kinds of shoes will also expose your feet to light, which is not favorable to fungus growth. Wearing socks that wick moisture and dry quickly will also help control fungus.

Although Lamisil and other medications containing terbinafine have been proven effective, they also cause a number of side effects which may be undesirable. If you decide that this kind of medication is not for you, there are a number of natural remedies to try. Applying alcohol, tea tree oil, hydrogen peroxide, or Vicks VapoRub to the nail regularly may solve the problem.

Your podiatrist might also recommend soaking your toenails in a gentle bleach solution. Anecdotal evidence suggests that vinegar and Listerine may also be effective when used as a soaking solution. These are simple treatments, but ones that require patience and consistency. There are also topical products available from your pharmacy which is manufactured especially for toenail fungus.

There are more immediate treatments for toenail fungus available using laser surgery. If you are looking for an immediate and quick removal of the toenail fungus, you will need to find a laser surgeon who can cut the growth out of your toenail. Don't try to cut the toenail fungus out using toenail scissors or other kinds of scissors. Once you get rid of your fungus infection, you will need to throw out your old shoes to avoid reinfection.

Ohio State University Wexner Medical Center surgeon, Dr. Timothy Miller, recently streamed an Achilles tendon surgery on the video-streaming appPeriscope. Dr. Miller is one of the first among many surgeons using the app hoping that it will help advance medical education. In this day and age of medical education, students and residents are all equally busy which makes the viewing of cases like these increasingly difficult. The streaming session reeled in nearly 170 live viewers, was viewed more than 800 times after during the 24 hours Periscope archived the surgery, and with the help of an assistant in the operating room, five to six questions were answered during the procedure.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.

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 cause severe 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 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 our office located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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The Achilles tendon is the strongest tendon in the human body. Its purpose is to connect the lower leg muscles and calf to the heel of the foot. This tendon is responsible for facilitating all types of movement, like walking and running. Since this tendon provides an enormous amount of mobility to an individual, any injuries inflicted to this tissue should be immediately brought up with a physician to prevent further damage.

The most common injuries that can trouble the Achilles tendon are tendon ruptures and Achilles tendinitis. Achilles tendinitis is the milder of the two injuries and can be recognized by the following symptoms: inflammation, dull to severe pain, an increased flow of blood to the tendon, thickening of the tendon, and slower movement time. Tendinitis can be treated via several methods and is often diagnosed by an MRI.

An Achilles tendon rupture is trickier to heal, and is by far the most painful injury. It is caused by the tendon ripping or completely snapping. The results are immediate and absolutely devastating, and will render the patient immobile. If a rupture or tear occurs, operative and non-operative methods are available. Once the treatment begins, depending on the severity of the injury, recovery time for these types of issues can take up to a year.

Simple preventative measures can be taken as a means to avoid both injuries. Prior to any movement, taking a few minutes to stretch out the tendon is a great way to stimulate the tissue. Calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses are all suggested ways to help strengthen the lower legs and promote Achilles tendon health.

Many problems arise among athletes and people who overexert themselves while exercising or who do not properly warm up before beginning an activity. Proper, comfortable shoes that fit correctly can also decrease tendon injuries. Some professionals also suggest that when exercising, you should make sure that the floor you are on is cushioned or has a mat, as this will relieve pressure on the heels. As always, a healthy diet will also increase tendon health.

It is very important to seek out a podiatrist if you believe you have an injury in the Achilles region, because further damage could result in severe complications that would make being mobile difficult, if not impossible.

Podiatrists, Rachel Ferguson and Marie Ann Lewis, pitched to investors on the popular television show Shark Tank for their premium orthotics company known as Synxsole. The pitch resulted in a three way bidding bar when they scored Talent2 founder Andrew Banks. The duo created the company when they would attempt to fit their patients with orthotic inserts, but they were too big to wear with most shoes. “The real potential is we all want happy feet,” stated Banks.

Orthotics can be helpful in reducing pain for many foot problems. If you are having discomfort in your feet and would like to try orthotics, contact Dr. Kevin H. Lapoff of Lake Worth Podiatry Our doctor will treat your foot and ankle needs.

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 over arched 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 issue, 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 more severe 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 on 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 feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.

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According to an animal study, Botox may be used to reduce neuropathy pain. Dr. Tony L. Yaksh of UC San Diego studied the effects of local and spinal injections of the Botox B, an approved form of Botox by the FDA. Dr. Yaksh and colleagues induced mononeuropathy and polyneuropathy into two groups of mice and then injected the Botox-B into the spine as well as locally through the paws. The local injections reduced pain in the mononeuropathy mice, but did not significantly reduce pain the polyneuropathy group. The spinal injection significantly reduced pain in all four paws of the mice. The study proved that Botox can be useful in treating neuropathy when injected a certain way..

If you have concerns regarding systemic diseases such as neuropathy and their effects on the feet, consult with Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will answer any of your foot- and ankle-related questions and provide you with the treatment you need.

Systemic Diseases of the Foot

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include: gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Some common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs, which relieves pain and inflammation and other drugs which lowers the acid levels in the body.

Diabetes mellitus- is an increase in the level of blood sugar in which the body cannot counteract with the insulin in the body. When the body doesn’t produce enough insulin this is a factor in Diabetes.

Diabetes of the Feet

● Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

● Peripheral Vascular Disease- can restrict the blood flow to the feet, and often times lead to amputation of the feet.

If you have any questions, please contact our office located in Lake Worth, FL. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Systemic Diseases of the Feet

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis.

According to an article published by the Pharmaceutical Journal, plantar warts are a common skin infection especially in children. These lesions caused by the human papillomavirus (HPV) can be treated in many ways. Although in many cases warts will go away with time, topical salicylic acid has been known to rid of warts within 12 weeks’ time. Glutaraldehyde, cryotherapy, as well as silver nitrate pencils can also help remove plantar warts.

Plantar warts can be very unsightly and uncomfortable. If you have any concerns with plantar warts on your feet contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Legions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing
• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

Treatment

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, will help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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According to Men’s Journal cracked heels, corns, and calluses, a common problem for men and women, can be a quick fix at home or the salon. The foot condition, although easily treatable, occurs because of ill-fitting shoes or through frequent motions over the foot such as running causing friction between bones, skin, and shoes. If your calluses or cracked heels are more extreme than usual, visit a salon for a pedicure since they can easily remedy the situation. At home, you can soak your feet in warm water for ten minutes and use a pumice stone to scrub and soften the area.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor can treat your foot and ankle needs.

Cracked Heels

Cracked heels are unappealing, and make it harder for you walk around in sandals. Not only may they look bad, but they can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How do you get them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief, or who suffer from chronic dry feet.

Wear Socks – wearing socks with medicated creams, helps lock in moisture so it can stay on longer.

Moisturizers – applying it both day and night will help alleviate dryness which causes cracking.

Pumice Stones – these remove dead skin, and then you can massage cream onto your foot. This way the cream will be absorbed. The skin needs to be exfoliated; therefore the outer layer dead skin needs removal.

Change in Diet

Eating healthy, with a well-balanced diet, will give the skin a fresh and radiant look. Your body responds to what kinds of food you ingest. Omega-3 fatty acids and zinc supplements will also help with skin tissue.

Most importantly seek a health professional for foot care if something is wrong or doesn’t seem to be working. A podiatrist will help you with any questions or information needed.

If you have any questions please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about cracked heels.

Cracked heels can make life very frustrating when sandal season comes around, and can be very embarrassing. However, not only are they an aesthetic issue, they can also tear stockings, socks, and even wear out shoes faster. When severe, they may cause pain or infection.

Cracked heels are a problem for those who are athletic, who may walk a lot, and who have dry skin especially. Those who use medication that dry the skin, swim a lot, wear certain types of shoes, and who are diabetic may have trouble with cracked heels. Seniors whose skin produces less oil also may have trouble with cracked feet. There is no one way to develop cracked feet, and there is no cure.

Today, the market consists of numerous products that have a variety of ingredients to promote healing. Some of these are over-the-counter, and some are prescribed by a doctor; especially for those who have chronic dry feet and heels.

Some doctors may recommend wearing socks at night for those with rough skin. This helps further healing, and helps any creams put on the feet to stay on longer and better sink into the skin.

One way to alleviate dryness that causes cracked heels is by using moisturizers both day and night. Another way is to make sure the skin is clean and dry at all times. Using a pumice stone to remove dead skin before putting on moisturizer can also help, as cracked heels will not respond to the cream unless the outer layer of skin is first removed through exfoliation. After exfoliation, lotion or ointment will be absorbed by the skin more easily.

Foods that produce healing and balance can also help the skin from within. Everything that is put into the body can either help it or hurt it, and foods that give the body staying power will permeate through, especially through the first line of protection, the skin. Additionally in helping cracked heels, taking supplements of omega-3 fatty acids and zinc can be very beneficial.

Nevertheless, not all products that say they will help cracked feet will help. Seeing a professional is best if nothing else being tried works. A podiatrist should be able to give the best advice to help with this problem.

Al Sharpton’s daughter Dominique is suing New York City for five million dollars after she sprained her ankle on uneven pavement. According to her father’s company National Action Network, Dominique has been in continuous pain ever since the injury. Although a few months after the incident she was seen using both of her feet with ease at events in Washington, D.C. and Miami, she is still seeking a settlement for medical bills and future pain.

Ankle sprains are common, but need immediate attention. If you have any concerns about your potential ankle sprain contact Dr. Kevin H. Lapoff of Lake Worth Podiatry. Our doctor will treat your foot and ankle needs.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits can aid in prevention

Treatment of a Sprain

Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Lake Worth, FL. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about ankle sprains.