Pedicure Pointers from a Podiatrist

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With the warm weather fast approaching, it’s that time where many people slip out of their winter boots and directly into the pedicure chair for some much-needed TLC.

Unfortunately, not all pedicure facilities offer clean and proper foot care, and often lead to foot infections and other common ailments. If you’re planning a trip to the local nail salon, please review our advice on things to pay attention to:

  • Make sure that the instruments used are clean and sterilized (we suggest bringing your own set of pedicure utensils).
  • Make sure foot tubs or basins are drained after performing a pedicure to get rid of all the bacteria present (going first thing in the morning is recommended).
  • Make sure the technician’s hands are clean.
  • If you are diabetic, pedicures are not advised. Visit your podiatrist before receiving a pedicure to identify any potential risks.
  • Cuticles serve as a protective barrier against bacteria, so it’s important not to cut them, as it increases the risk of infection.
  • Nails should be cut straight with slightly rounded edges, as other tools with a curved shape can increase the risk of developing an ingrown toenail(s).
  • Foot razors should never be used to remove dead skin (we suggest soaking your foot for 5+ minutes in warm water and then removing the dead skin with a pumice stone). A foot razor can lead to permanent damage if used incorrectly and can easily cause infection if too much skin is removed.
  • If your toenails are thick and/or discolored, do not use nail polish to cover them up. Nail polish locks in moisture and doesn’t allow the nail bed to breathe, which encourages fungal growth. For special occasions, we recommend using an anti-fungal nail polish instead, which is available for purchase in our office.

If you have any questions regarding pedicures or any issues that have developed as a result of a pedicure, feel free to contact our office at (248)348-5300 or request an appointment on our website. Our podiatrists, Marc A. Borovoy, DPM, and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing.

Why Does My Foot Fall Asleep?

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Have you ever experienced the sensation of your foot falling asleep? It may have happened while you were watching TV or working on the computer, and when you went to stand up an hour later, you found that your foot was completely numb.  While many believe the “pins and needles” feeling occurs due to the lack of blood supply being sent to your foot, this experience is actually referred to as paresthesia, which occurs when too much pressure is placed on a nerve.

Causes of temporary paresthesia:

  • Sitting in the same position for long periods of time
  • Wearing shoes that are too tight
  • Sitting or lying in a way that restricts blood flow to the lower limbs

Symptoms of paresthesia:

  • Prickling
  • Tingling
  • Itching
  • Burning or cold skin

When you sit for long periods of time, your nerves (the tiny threads/wires that run throughout your body, carrying messages to the brain) are temporarily compressed and unable to send messages back and forth, thus temporarily disrupting the connection. As a result, your feet don’t feel anything.

As soon as you change your position, though, your nerves are no longer compressed and the feeling in your foot will slowly start to return. And while it’s important to remember that everyone experiences “sleepy feet” every once in a while, it shouldn’t happen often without reason. If you experience chronic paresthesia, it may be the result of an underlying neurological disease or traumatic nerve damage, and you should consult a podiatrist immediately to obtain an accurate diagnosis.

Other issues that may cause paresthesia:

  • Neuropathy
  • Fibromyalgia
  • Autoimmune Diseases
  • Vitamin Deficiency
  • Hypothyroidism
  • Radiculopathy
  • Disorders affecting the central nervous system
  • A tumor or vascular lesion

Our podiatrists, Marc A. Borovoy, DPM and John D. Miller, DPM, are experts in all areas of foot and ankle care, and will be happy to assist you with any problems you may be experiencing, including paresthesia. Feel free to request an appointment on our website or call us at (248)348-5300.

Nicolas Cage Suffers Ankle Fracture on Set of New Film

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Image Source: Getty

Several days ago it was revealed that actor Nicolas Cage had experienced a painful injury in a “freak accident” on the set of his new film, #211. After being rushed to the hospital while on location in Bulgaria, it was eventually announced that the star had suffered from a broken ankle.

Initially, the response to the star’s injury was to perform a surgical procedure in Bulgaria, however, Cage made the decision to return to Los Angeles for treatment and according to Deadline, has now decided to postpone filming for a total of 6 weeks to allow his injury time to heal.

As of now, the exact details of how the injury occurred are still unknown, but since a severe ankle sprain and a broken ankle can have similar symptoms, it’s important to have every ankle injury evaluated by a podiatrist.

Common symptoms of a broken ankle include:

  • Immediate and severe pain
  • Swelling
  • Bruising
  • Tenderness when touched
  • Inability to put any weight on the injured foot
  • Deformity, particularly if there is a dislocation as well as a fracture

Depending on the severity of the fracture (i.e. how many bones making up the ankle joint are broken) two possible options could have been discussed: conservative or surgical. If the fracture was minimal, meaning the break was minor and not out of place, it could’ve been treated with a brace or cast to protect the fracture while it heals. However, if multiple bones were broken and the ankle became unstable, Cage would’ve been looking at a surgical route to re-position the misplaced bones.

“Most ankle fractures take approximately 8 weeks to heal properly,” says Dr. Marc Borovoy, a podiatric physician who treats ankle fractures on a weekly basis. “Given his [Cage] situation, I agree with the decision to undergo surgery, and I’d also recommend a few weeks of physical therapy to help restore the flexibility and strength in his ankle.”

If you or someone you know experiences any type of ankle injury, it’s important to seek treatment as soon as possible to ensure a proper diagnosis and plan of care. If you have any questions regarding ankle fractures or any other foot or ankle issue(s), please feel free to visit our website or call us at (248)348-5300.

Liverpool Captain Still Suffering from Foot Injury?

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Source: Fox Sports

Back in early 2016, our office first covered the story about Liverpool’s captain, Jordan Henderson, and his battle with an old metatarsal injury and plantar fasciitis―the chronic heel condition caused by the straining of the ligament (flat band of tissue that connects your heel bone to your toes) that supports your arch.

Now, nearly a year later, Henderson is still fighting against the common foot ailment, describing it as an “unbearable, burning pain,” despite it originally being considered a minor injury. According to The Liverpool Echo, “Henderson is no closer to returning to training. The Liverpool captain is currently on crutches having been told to keep the weight off it.”

It’s with this recent announcement and Henderson’s frustrating lack of improvement, that fans have started to worry about his return to the field and whether this will end up being a long-term problem for the midfielder.

So, what exactly is the source of Henderson’s heel problem?

According to Dr. Marc Borovoy, DPM, “Plantar fasciitis is common among athletes because of the high intensity and excessive amounts of running. The plantar fascia acts as a shock absorber, supporting the arch of the foot, and can experience a lot of repeated strain in these types of sports. If you put too much pressure on it, you can easily damage, tear, or cause the fascia to become inflamed.”

Additionally, as the conversation led to Sir Alexander Ferguson’s original statement, suggesting that the midfielder’s pain may have also been a development of his running technique (“Henderson runs from his knees, with a straight back while the modern footballer runs from his hips.”), Dr. Borovoy agreed with his theory, stating, “A player’s gait is a common contributing factor and identifying a mechanical root cause is key to recovery. By altering the mechanics of his technique through custom orthotics, they’d be able to correct his gait and ensure further stability.”

“Hopefully,” Dr. Borovoy continued, “Henderson will take this time off to rest his foot, go through a physical therapy regimen, and invest in a custom shoe that will provide him with the proper padding and arch support that he needs. By the time the next season starts, we should be able to track his progress and see if these changes will allow him to continue playing in the Premier League.”

 

Toenail Trauma for Trainor

Less than a week ago, pop star Meghan Trainor took to Instagram and Twitter to let her fans know about her most recent traumatic experience, stating:

@Meghan_Trainor: Mood 😦 Rip big beautiful toe nail.

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Several days later, Trainor revealed the real story behind the surgical shoe snap, stating her big toenail had accidentally ripped off when her foot got caught under a chair after standing up too quickly. It’s an occurrence our podiatrists at Associated Podiatrists PC are all-too-familiar with, as they deal with toenail removals caused by acute trauma on a weekly basis.

Often the outcome of a blow to the nail (or as Trainor puts it, “a freak accident”), traumatic nails commonly result in the tearing or splitting of the toenail and/or formation of blood underneath, known as a subungual hematoma.

Thankfully, based on Trainor’s Instagram photo, the singer has already sought treatment for her injured toenail, and hopefully, will be following up with a podiatrist to ensure that the nailbed is healing properly and to prevent future infection(s) from occurring.

Associated Podiatrists PC Celebrates National Foot Health Awareness Month

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Did you know that, contrary to popular belief, your feet are not supposed to hurt? It’s true! Foot disorders are among the most widespread and neglected issues affecting Americans today, and it’s estimated that more than 75% of the U.S. population will experience a foot problem at least once during their lives.

Therefore, in honor of April’s National Foot Health Awareness Month, our podiatrists at Associated Podiatrists P.C. have put together several tips for keeping your feet happy and healthy!

  • Keep your feet clean and dry – While bathing, thoroughly clean your feet and toes with soapy water, and be sure to fully dry them afterwards, as fungal organisms love moisture.
  • Inspect your feet daily – Be sure to check the bottom of your feet for injuries, cracks, peeling, or dry skin, especially if you’re diabetic, since cracks in the skin provide a breeding ground for bacteria or fungus.
  • Stop going places barefoot – Floors at home and public places are filled with bacteria, making you susceptible to fungal infections and/or plantar warts.
  • Wear proper footwear – No two feet are identical (even on the same person), therefore, it can be difficult to find proper fitting shoes. Since one foot is always slightly larger, Dr. Borovoy suggests shopping for shoes that fit the larger foot, as well as purchasing them at the end of the day, to compensate for any swelling that occurred during the day.
  • Maintain a healthy weight – Keeping up with a healthy diet and regular exercise is the key to keeping your feet in top form! Added weight puts pressure on the feet and leads to many common complaints such as foot or ankle pain.
  • Stretch – In addition to maintaining a healthy weight, it’s important to stretch your feet, ankles, and lower legs before exercising to prevent injury.
  • Don’t keep putting it off – If you’re suffering from any kind of foot or ankle injury, don’t hold off on seeing a podiatrist. Injuries left untreated can lead to poor healing, recurring pain, limited mobility, and development of other serious issues.

So, this April, remember the importance of good foot health and make sure to schedule an appointment with one of our podiatrists! A visit to a podiatrist for a general foot exam will help treat any existing problems, and help to prevent any future ones.

Associated Podiatrists P.C.
26750 Providence Pkwy
Suite 130
Novi, MI 48374
Phone: (248)348-5300
Fax: (248)348-5410

Remember, your feet tell a story and we are here to listen!

Recurring Toenail Fungus

A fungal infection of the toenails can be very difficult to treat for a variety of reasons, most notably the fact that the warm, moist, and dark environment inside your shoes is an ideal growing habitat for the tiny microorganisms responsible for this condition. The reduced blood flow to the feet can also be a factor by making it more difficult for your immune system to fight the infection.

If you have a toenail infection that never seems to completely clear up, there are some factors that may be contributing to the problem.

Possible Causes of Recurring Nail Infection

  • Repeated exposure to the fungi—It is important to make sure your shoes are not contaminated, and that you are not picking up the microbes from someone else through a shared shower or bathroom area.
  • Improper treatment—Since the infection is underneath the nail, it can be very hard to completely eradicate with over-the-counter treatments and home remedies. Symptoms may subside for a short time but then return.
  • Immune system issues—If you are taking a medication that weakens your ability to fight infections, or if you have a medical condition such as diabetes you are at a greater risk of repeat infections.

How to Prevent Repeat Toenail Infections

  • Use antifungal spray in your footwear.
  • Air out your shoes, and don’t wear the same shoes every day.
  • Make sure to wear shower shoes or flip flops in locker rooms, showers, and pool areas.
  • Talk to your podiatrist for more advanced treatments such as oral antifungal medications, laser nail therapy, or possible removal of the nail.

Marc A. Borovoy, DPM, and John D. Miller, DPM, of Associated Podiatrists, P.C. in Novi, MI are experts in all areas of foot and ankle care, and will be happy to assist you with toenail fungus, or any other problems you may be experiencing with your feet. You can request an appointment on our website or feel free to call us at 248-348-5300.