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(202) 388-5303

December 2023

Tuesday, 26 December 2023 00:00

Causes and Treatment of Toenail Fungus

Toenail fungus, or onychomycosis, affects up to 14 percent of the population, with a higher incidence in toenails. Symptoms include discoloration, thickening, brittleness, and nail distortion. Advanced cases of toenail fungus may involve nail detachment, causing pain and potential infections. Fungal nail infections result from exposure to environmental fungi, exploiting small cracks in nails or surrounding skin. Risk factors include nail injuries, foot deformities, and trauma, creating entry points for fungi. Diabetes increases susceptibility due to compromised circulation and weakened immunity. Cancer or conditions suppressing the immune system elevate vulnerability. Poor leg circulation, such as venous insufficiency, or narrowed arteries, signaling peripheral artery disease, can contribute to the susceptibility for fungal nail infections. Those with a history of fungal skin infections are also more prone, especially anyone with a weakened immune system. Secondary bacterial infections are common in people with diabetes, amplifying health risks. Understanding toenail fungus causes and symptoms is essential for early detection. If you believe you have developed a toenail fungus infection, it is suggested that you schedule an appointment with a podiatrist who has advanced measures that can help rid you of this stubborn condition.

For more information about treatment, contact Dr. Lubrina Bryant of District Podiatry, PLLC. 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 our office located in Washington, D.C . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about How to Treat Your Toenail Fungus
Published in Blog
Tuesday, 26 December 2023 00:00

How to Treat Your Toenail Fungus

While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.

There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.

Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.

While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.

Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.

Published in Featured
Tuesday, 19 December 2023 00:00

Surgical Options for Hammertoe

Hammertoe, a toe deformity resembling a hammer, can be a source of discomfort and mobility issues. While non-surgical treatments are often the first line of defense, surgical options become necessary when the condition is unresponsive to conservative measures, or if it reaches an advanced stage. The hallmark symptom of hammertoe is the upward bend in the middle toe joint, which, if left untreated, can lead to pain, blisters, calluses, or corns. When the discomfort becomes severe, surgical intervention may be recommended by your podiatrist. One common surgical approach is tendon lengthening, where the surgeon extends the tendon in the affected toe to enhance flexibility. This procedure aims to restore a more natural position to the toe and alleviate associated pain. Tendon transfer is another surgical option. In this procedure, part of a tendon from the bottom of the toe is moved to the top, enhancing flexibility and promoting a healthier range of motion in the toe. For cases where stability is compromised, joint fusion may be recommended. During this surgery, metal pins or screws are inserted into the toes, creating internal immobilization. Recovery periods may vary, and following postoperative instructions care is essential for the best results. To determine the most suitable surgical option based on the specifics of your hammertoe, it is suggested that you discuss the matter with a podiatrist.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Lubrina Bryant from District Podiatry, PLLC. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our office located in Washington, D.C . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Hammertoe
Published in Blog
Tuesday, 19 December 2023 00:00

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.

The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.

There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.

Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.

To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.

If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.

Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.

Published in Featured
Tuesday, 12 December 2023 00:00

Common Advice From Podiatrists

Taking an average of 8,000 steps a day, it is essential to give your feet the care they deserve. Podiatrists emphasize the importance of foot health, offering useful advice. One key recommendation is to refrain from walking barefoot in public showers, as they are hotspots for athlete's foot-causing fungus. Wearing protective footwear such as flip-flops or water shoes is advised. Extra attention should be paid to drying the feet, particularly between toes. The condition of your feet can be indicative of overall health. For instance, changes like the disappearance of toe hair or alterations in skin texture may signal peripheral arterial disease, or PAD, which can suggest broader cardiovascular issues. Dry skin and non-healing ulcers could point to undiagnosed diabetes. Choosing the right footwear is critical. Pointy pumps, for example, can lead to bunions and other painful conditions. Shoes with a wide toe box and heels under two inches are recommended. Additionally, the length of your toes matters. If your second toe is longer than your first, it can lead to various foot problems, including bunions and back issues. This condition, known as Morton's toe, requires wearing appropriate footwear to mitigate problems. Toenail fungus is another common issue, often indicated by discolored or brittle nails. Keeping the feet dry and changing sweaty socks frequently may help to avoid fungus. If you would like to obtain additional information about good foot care,it is suggested that you schedule an appointment with a podiatrist who can provide you with useful advice.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Dr. Lubrina Bryant from District Podiatry, PLLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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

Read more about What is a Podiatrist?
Published in Blog
Tuesday, 12 December 2023 00:00

What is a Podiatrist?

The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.

To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.

When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.

Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.

Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.

Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.

Published in Featured
Sunday, 10 December 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Published in Blog
Tuesday, 05 December 2023 00:00

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Published in Featured
Tuesday, 05 December 2023 00:00

Possible Travelling Foot Pains

Exploring a different country on foot, whether in the tranquil early morning or during the enchanting twilight hours, offers a unique experience. However, this active exploration can come with challenges, particularly when navigating a city's cobblestone streets. Walking extensively can lead to foot pain, with common issues including plantar fasciitis and Achilles tendinopathy. These conditions are often caused by overuse, wearing inadequate footwear, or tight and weak muscles. Plantar fasciitis, for example, manifests as a sharp pain in the heel as a result of overburdening the feet. Achilles tendinopathy presents as pain in the lower leg and is often caused by tight calves and wearing unsupportive shoes. To prevent and treat these issues, it is suggested that prior to your trip, you make an appointment with a podiatrist to discuss options such as using custom-made orthotics and targeted stretching and strengthening exercises that may help you to avoid foot pain so you can enjoy your vacation

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Lubrina Bryant from District Podiatry, PLLC. 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 Washington, D.C . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Published in Blog
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