Posts for: July, 2012
Corns are thickened areas of skin that develop in response to excessive pressure and friction. This can occur when one toe rubs repeatedly against another, or when the toes rub against ill-fitting footwear. Typically hard and circular, corns are usually not a serious problem, but can be quite painful if untreated, especially when wearing shoes.
Since corns are often symptoms of underlying problems such as faulty bone structures or abnormal gait, self-treatment should only involve footwear modification. Never attempt to cut or scrape away a corn on your own as this can lead to infection. It’s best to consult Howard Schaengold, DPM first as many times over-the-counter treatments fail to effectively treat the underlying foot disorder and can damage the healthy surrounding skin if used incorrectly.
A podiatrist will assess your corn, determine the cause, and help you determine a treatment plan to manage the pain and eliminate pressure that is causing the corn. These conservative treatments may include padding to prevent pressure, footwear modifications and orthotics to relive stress under the foot. When pain is persistent or conservative treatment isn’t effective, minimally-invasive surgical correction may be recommended to remove the corn or repair the bone structure beneath the corn.
The surgery can often be performed in the doctor's office, the recovery time is brief, and many patients obtain relief within days. Corns always require consultation with an experienced podiatrist at our Sammamish office. When treated early, most corns can be resolved with non-surgical treatments.
Heel pain is one of the leading problems that cause patients to visit their podiatrist, and it’s no wonder. The relentless ache in the bottom of your foot or the sharp pain as you step out of bed in the morning is often enough to persuade even the most stubborn patient to make an appointment with his or her podiatrist.
Because there are many potential causes of heel pain, such as a stress fracture, tendonitis, nerve damage or arthritis, it’s important to have your foot examined by a podiatrist with expert training in heel pain. Howard Schaengold, DPM will examine your foot, determine the underlying source of your heel pain, assess your symptoms, make a proper diagnosis and recommend a treatment plan based on your individual case. Early diagnosis and treatment can help prevent more serious problems.
Plantar fasciitis is the most common cause of heel pain, occurring when the thick band of tissue (plantar fascia) that connects the heel to the toes becomes irritated and inflamed. When the plantar fascia is strained over time beyond its normal extension, tissues of the fascia may tear or stretch, which leads to pain.
Faulty foot structures, such as flat feet or high arches are common causes of plantar fasciitis. Non-supportive shoes and increased weight or strain may aggravate the condition as well.
Common symptoms of plantar fasciitis include:
- Bottom of the heel pain
- Pain that intensifies after sitting for extended periods of time and subsides after a few minutes of walking
- Pain that worsens over a period of months
Most types of heel pain, once properly diagnosed, can be successfully treated with conservative measures, such as use of anti-inflammatory medications and ice, rest, stretching exercises, orthotic devices, footwear modifications, and physical therapy. The longer heel pain is allowed to progress, the longer treatment can take. When plantar fasciitis doesn’t respond to conservative care, your podiatrist may recommend surgery as a last resort. Always seek care from our Sammamish office for heel pain in its earliest stages for proper treatment.