Plantar Warts: Causes and Treatments

Although it can be quite tempting to go barefoot this summer, it can also put you at risk of contracting a strain of the human papillomavirus (HPV) known as verruca, or plantar warts. Viruses thrive in warm, moist places such as public bathrooms or swimming pools, and can occur as a result of direct contact with the virus (commonly through tiny cuts or abrasions on your feet).

While it’s nearly impossible to avoid contact in the general public, it’s important to note that exposure is common, especially in younger children who have yet to build up an immunity, and tend to spread the virus among their friends and family. Therefore, while you should always keep your feet protected by wearing shoes or flip-flops in public places, it’s also important to make sure that communal surfaces at home, as well as your socks and shoes, are being disinfected to prevent the virus from spreading.

Remember: every person’s immune system is different, so a person’s response to the virus will be different, too, even if they’re from the same family.

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Image Source

Plantar warts are generally small, fleshy growths on the bottom of your feet and are often mistaken for plantar corns or calluses, due to the thicker skin that tends to develop. A plantar wart, however, will generally have the appearance of tiny black dots near the surface caused by capillary hemorrhages that form underneath the skin. As a general rule, we suggest patients to seek treatment from a podiatrist, as attempting to remove them at home can lead to serious problems, such as infection, if removed incorrectly.

Once in the office, plantar warts are easy to diagnose and may require a simple scraping of the skin or biopsy to confirm. After that, there are several different treatment options to consider, such as: topical acids, liquid nitrogen, YDL laser, or an excision(s). Depending on the size of the wart and quantity, all of these options are available and your podiatrist will be able to discuss which treatment will work best for you.

If you or someone you know believes they may have a plantar wart, 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.

Nicolas Cage Suffers Ankle Fracture on Set of New Film

German Sustainability Award 2016

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

NATIONAL FOOT HEALTH AWARENESS MONTH (2)

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!

Stem Cell Injections: A Game Changer in Medicine?

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With changes in medicine occurring on an almost daily basis, it’s important as not only healthcare providers, but patients too, to be aware of the most cutting-edge treatments available. Recently the spotlight has been on the popularly discussed stem cell injections that have been making headlines… including ours. With the introduction of two new injections to our office, our physicians now have the ability to help ease many common foot complaints with a simple in-office injection.

The stem cells obtained from amniotic membrane tissue, which are donated by healthy, consenting mothers undergoing scheduled Cesarean section, might be a new form of treatment to our office, but stem cells have been used successfully to treat injuries since the early 1900’s.

Including most recently, Red Sox’s lefthander, Drew Pomeranz.

At the end of his 2016 season, Pomeranz had been experiencing severe elbow-forearm pain that left him restricted on the field. After a strict period of rest and therapy left him with no notable improvements, the Red Sox player followed the same treatment as two other players, Garrett Richards and Andrew Heaney, who both opted for stem cell injections instead of surgery. The stem cells, once injected, send a message to the body to heal the damaged area, as well as combining with other cells to promote healing.

This method of treatment is slowly making its way through the sports industry after several positive outcomes have been documented, including Bartolo Colon, who states the injection resurrected his career. So, is it possible this new treatment could be the solution you’ve been waiting for? According to Dr. Marc A. Borovoy, “Chronic tendon and ligament problems in the foot and ankle can be successfully treated with these injections. We have seen cures without needing to progress to surgery in many cases.”

Call or visit our website to setup an appointment and find out if this injection could help you.

“Spring for Socks” Charity Drive

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Associated Podiatrists, P.C. Is Having A Sock Drive!

 

Associated Podiatrists, P.C. is partnering up with S.A.Y. Detroit to collect NEW socks for people of all ages! We will be accepting donations throughout Spring (March 20 – June 21) and dropping them off at S.A.Y. Detroit Family Health Clinic (the nation’s first free medical clinic devoted to homeless children and their mothers) on June 23, 2017!

Why Socks? Did you know that socks are one of the most requested items in shelters across the country, but the least often donated? Many homeless people tend to walk miles every day in order to survive, frequently wearing the same pair of socks (if any) until they’re threadbare and damp. This leaves them at risk of developing serious foot disease(s), which during the cold winter months, could lead to more serious issues, including infection.

How Can You Help? Help us by sharing this post on social media with your friends and family, and/or by making a donation directly! We’ll be accepting all in-person sock donations, and for those who don’t live locally, we’ll also be accepting donations made online (i.e. amazon), which can be delivered to our office address:

Associated Podiatrists, P.C.
26750 Providence Parkway
Suite 130
Novi, MI 48374

Have More Questions? Call or email us! Our staff is available Mon-Fri, 8:15-5:00, to assist you with any questions you may have.

Phone: (248)348-5300
Fax: (248)348-5410
Contact: Molly
Email: apmolly130@gmail.com

We thank you in advance for your generosity!

Sincerely,
Dr. Marc A. Borovoy, Dr. John D. Miller, and Staff.

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.