Q: where can I find silicone spacers for the feet?
A: Silicone spacers for the feet can be typically bought online. However, before I would spend the money, I would recommend that he get a professional evaluation to see which kind are going to be the best for you.
(Editors Note: These are a well reviewed brand…www.yogatoes.com)
Q: What causes athlete foot and other foot fungus? What’s the best prevention and treatment?
A: Athlete’s foot is caused by fungi organism species called Trichophyton. This is typically an opportunistic organism that invades the skin through cracks and small openings. The best prevention for avoiding athlete’s foot is to make sure that your feet are clean and dry especially after you take a shower or bath. For treatment there are a multitude of over-the-counter aerosol sprays, powders, or creams that are proven effective.
Q: Doc, what causes black toe nails?
A: Black toenails can caused by a fungal attestation, injury to the nail itself, and then a worse case scenario can be a sign of melanoma. If you do have Black toenails, I would recommend evaluation by a podiatrist.
Q: How effective are compression socks?
A: This depends on the pressure gradient that is trying to be achieved. Compression socks are typically effective in reducing the fluid volume in the lower extremities secondary to venous insufficiency and other disease states. Before trying compression socks, I would recommend an evaluation by podiatrist or vascular specialist to make sure that there is no further harm being done by the use of the compression socks.
Q: For 9 years, I’ve been going to doctors trying to figure out why my feet keep swelling up. They check for gout said it wasn’t it I had lupus test, that wasn’t it.I take ibuprofen 800 to keep the inflammation down. It comes and goes probably every other month. Is there anything you tell me to fix it?
A: 9 years is a very long time to have your feet swelling. So I do have a few questions. Have you gone to see a vascular doctor to see if it was something called venous insufficiency? Have you seen a cardiologist to see if there is something going on with your heart? I would recommend consultations to these 2 specialties just to be sure that there is not something else going on that is been potentially missed over the years.
Is there a natural non medicinal cure for foot neuropathy?
A: Vitamin B12, which is a naturally occurring substance in the body has been shown to help with foot neuropathy. However, before using it I would recommend a podiatrist evaluation.
Q: My arches fell. How do I raise my arches?
A: If you arches swell it may be due to fatigue of the plantar fasciitis or the supporting tendons bed hold the arch up. Conservatively, I would recommend inserts that have a built-in arch to allow your foot to rest on it and thus create an artificial arch. If you are looking for a more permanent solution, there is always surgery to do what’s called a flatfoot reconstruction however recovery for this may take months and is very painful.
Q: Good morning! I have pain where my heel and ankle are attached….the pain goes from there to the bottom of my foot. What causes this pain?
A: Without a good evaluation it sounds like you have something called subtalar joint pain. This may be caused by arthritic changes in that joint. I would recommend a for evaluation with x-rays to see if there is something going on there.
Q: How do you cure sweaty feet?
A: Sweaty feet is called hyperhidrosis. There are prescription medications that can be used to help reduce the fluid output from the sweat glands. If you are not interested in a prescription medication, then you can always use aerosol sprays and powders to help dry out the feet.
Q: Any tips for high arch pains?
A: So a high arch is technically called pes cavus. Depending on where the pain is in the arch, inserts may be warranted to help bring the shoe up to the arch and thus prevent the progression of arthritis in the midfoot joints. I would recommend a podiatrist evaluation with x-rays to get a better understanding of your foot type.
Q: What can I do for blisters that I keep getting on my feet?
A: Blisters are caused from frictional rubbing in the bodies response is to perform this fluid-filled sac in order to help it heal. Depending on the spot of the blister, this could be from direct pressure. I would recommend a silicone pad to safely put over the blister to allow cushion between your foot in the shoe. If this does not work, I do recommend going in and getting evaluated.
Q: Is Vicks VaporRub good for toenail fungus?
A: SI heard anecdotal evidence that Vicks VapoRub can be used to help alleviate toenail fungus but I’ve never seen it myself nor do I have any evidence that would support that. However, if it works, it works.
Q: I had bunion surgery now my second toe is becoming a hammer toe. Should just keep stretching the ligament or am I going to have to have surgery again?
A: I would recommend getting x-rays again to see the what the corrected bunion deformity looks like now. There may be a case of the intermetatarsal ligament being stretched or possibly damage to one of the soft tissue elements between the first and second toes that may have caused the second toe to hammer. It may also be a case of now the big toe is considerably shorter and putting more pressure on the second toe, causing the toe to stress and hammer.
Q: What are metatarsals?
A: The metatarsals are the long bones that are located behind all 5 toes.
Q: What do you do about corns and calluses on the bottom of your feet?
A: Corns and calluses are caused by pressure. For the calluses that are on the bottom of your feet, conservatively, I would recommend having them shaved down or possibly using over-the-counter callus pads to help soften up the callus. The underlining issue is that there is pressure from the bone underneath that skin that is causing the callus to reform. As a last resort, it may be wise to consider surgical intervention to shave down the bone.
Q: I’d like to know what a triple anthrodesis with hardware involves?
A: So a triple arthrodesis is a surgical procedure used to correct a flatfoot deformity. This is fusion of the talonavicular joint, the subtalar joint, and the calcaneocuboid joint. There are also soft tissue procedures that may be performed with this such as tendon balancing procedures. The hardware that is used is really up to the surgeon. Typically a surgeon my use screws to fuse the joints. There may also be a variation to use plates or compression staples. Once the joints are fused in a fixed position this will create an arch in the foot and long-term allow for better foot function.
Q: What is a good fungus cream?
A: Lamisil Cream
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