Osteoarthritis, or OA, can affect the base of the big toe and cause significant pain. This type of arthritis occurs when joints wear down, and bones become exposed and rub against each other. Symptoms include pain, swelling, and a limited range of motion. Walking may become difficult, and neuropathy can develop as OA of the big toe worsens. As with many other foot conditions, pain with big toe arthritis is often worse after periods of inactivity. Sometimes a reactive bone process can happen with OA, where the body will attempt to repair itself by growing more bone. Bony protrusions, called spurs, can then grow on the joint, which heightens pain, causes the toe to stiffen, and can lead to a visible bump or callus on the toe. If you suffer from OA of the big toe, it is suggested that you make an appointment with a podiatrist, who can provide options for relief.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Richard Silverstein of Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

One of the most serious types of wounds on the feet is a foot ulcer. Ulcers can be common among diabetic patients and prompt medical attention is often sought to help prevent an infection. Treatment can begin with removing dead tissue, which is referred to as debridement. This is followed by dressing the wound using sterile gauze pads and antibiotic cream if the wound is infected. Many people who are diabetic can develop neuropathy, the inability to feel existing cuts on the feet. If left unnoticed, a foot ulcer can easily develop and may require more extensive forms of treatment. These types of wounds often take several weeks or months to heal and the dressing may need to be changed daily. If you have diabetes, it is strongly suggested that you speak with a podiatrist who can treat existing wounds and help you manage this condition. 

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Richard Silverstein from Union Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a particular kind of foot condition that can be quite an annoyance for patients. Gout develops when urate crystals accumulate in joints of the feet. As a result of this accumulation, inflammation and pain can ensue. Podiatrists often use the term “gout attack” when talking with gout patients. This term refers to periods of time in which these crystals accumulate and pain is felt. An attack can be triggered by many different things. A common reason for a gout attack, among others, is eating foods that are high in purines. If you are someone that is living with gout, it is highly recommended that you consult a podiatrist today for assistance. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Richard Silverstein from Union Foot Care. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

A bunion, termed hallux valgus, is a bone deformity of the big toe. This condition can cause the tip of the toe to push toward the smaller toes as the bottom of the toe joint juts outward from the foot. The resulting bump can prove to be painful as it changes the gait and rubs against the inside of the shoe. In some cases, a surgical procedure may be the only option for reducing pain. This may be successful in straightening out the joint, in addition to stabilizing the gait. It can also help to prevent hammertoe and other foot abnormalities from developing. Deciding on bunion surgery depends on various factors, such as the severity of the bunion, and whether it is related to osteoarthritis. Additionally, the impact it may have on completing daily activities or participating in sporting activities may contribute to making this decision. Side effects may include nerve damage, inflammation, and permanent stiffness. It is beneficial to explore this with a podiatrist before deciding on this type of surgery. To find out whether bunion surgery is the right option for you, it is suggested that you consult a podiatrist for an exam and diagnosis. 

If you are suffering from bunion pain, contact Dr. Richard Silverstein of Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails can be an annoying and potentially painful affliction of the foot. This condition occurs when the side of a toenail essentially grows into the skin of the toe. In severe cases, a surgical procedure may be needed to resolve the issue. For example, a surgical procedure might involve removing a part or all of the nail. Sometimes, before a surgical procedure of this kind, you might need to receive local anesthesia to numb the affected toe. Additionally, the procedure may take about an hour in time. Following the operation, your toe might need to be protected with some sort of bandage. The medical professional performing the procedure might then give you instructions on caring for your toe following the operation. If you have a persistent or infected ingrown toenail, contact a podiatrist today for help.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Richard Silverstein of Union Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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