Overview
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Foot
Procedures & Problems |
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The foot consists
of 26 bones, 120 ligaments, 33 joints and 20 separate muscles
which work together to control the movement of its individual
parts. The foot contains almost one quarter of the body's
bones. When you combine the structural complexity of the
foot and the fact that the average person takes about 5,000 steps
a day, it should come as no surprise that many common ailments
exist. The following is a list of some of the most common
conditions, and below is a brief description of the condition and
treatment. Always consult your physician about your particular
condition.

Arthritis
Arthritis is a condition that causes the
inflammation and swelling of your cartilage and lining of the joints.
Since your foot is composed of 33 joints, arthritis tends to start in
your feet first. This condition is common in people over the age
of 50, but has started at earlier ages.
Treatment for arthritis in
your feet varies depending upon the severity of the condition.
Some treatment options include medication, physical therapy, special
shoes and
inserts.
Bunions
Bunions are a displacement of the joint between the big toe and the
long bone (The first Metatarsal) just behind it towards the mid-line of
the body. The joint will begin to bulge towards the inside of the
foot and the big toe goes the opposite direction. Although this
condition is not race or gender specific, it most commonly occurs in women
who wear narrow-toed dress shoes.
Treatment can involve special supports (Orthotics) to correct an
abnormal gait and stop further deformity. Medication can relieve the
pain and your Podiatrist can recommend surgery if necessary.

Corns
and Callus
Corns and Callus
are descriptive of the same type of lesion called Hyperkeratosis.
They both involve the excessive production of dead skin cells.
Initially this production is to help protect the skin from pressure
caused by footwear or weight bearing. But over time the
thickening of the skin can result in increases in pressure and
discomfort. Corns usually are on the toes and calluses are usually
on the bottom surface of the foot.
Nucleation is a deeper
central core that can develop and cause
acute tenderness.
Treatment
is to reduce the lesion with sharp instruments and
applying the appropriate pads and tape. Sometimes changing
footwear, orthotics, or surgery to remove bony prominences or realign
bones is recommended. Products do exist such as Kerasal Foot Medication
to
gently exfoliate dry, scaly, or callused skin.
Flat
Feet
Flat Feet will be termed
pronated by your Podiatrist, and are
a fairly common ailment
Causes include:
- Abnormality in the alignment of bones
- Excessive elasticity of the ligaments
- Muscle imbalance
- Or a combination of the above
Pronated feet alter the alignment of the feet, ankle, leg, pelvis,
and lower back. These misalignments can cause problems at any
level not just your feet. Long term effects include arthritis,
bunions, heel spurs, and other deformities. Shin Splints
may also result.
Treating
this deformity may involve foot orthotics which are
special supports your Podiatrist can recommend to help compensate for
the poor alignment of bones.

Foot
Odor
Foot order which is termed
Bromhydrosis is caused by the
bacterial decomposition of normal secretions of the sweat glands.
Treatment is usually aimed at control of the sweating and may involve
soaking your feet in a solution containing an anti-bacterial solution.

Plantar
Wart
Planter wart is a wart (Verruca) that appears on the bottom (Planter)
of the foot. They often resemble a callus. Warts are caused
by exposure to a virus . This can occur for example at a public
shower. The interval from exposure to seeing a wart can be
months. They can also appear on the top of the foot where they
tend to grow out from the skin and are easily identified. Your
Podiatrist can usually distinguish the planter wart from a callus.
Treatment of this condition
vary. Your Podiatrist may utilize
methods such as excision, freezing, burning, strong acids etc..
But additional treatments might be necessary because
warts have a high reoccurrence rate.
Toenail
Conditions
Toenails are common complaints and involve:
- Thickening
- Brittleness
- Discoloration
- Fungal infection
- Ingrown nails
Fungal infection is common and can cause thickening and
degeneration of the nail plate.
Treatment can involve an oral anti-fungal medication or a
topical one such as Restore Nail Medication which is an anti-microbial
liquid which penetrates the nail tissue to kill the fungus.
Ingrown Nails
Ingrown toenails are quite common in all
age groups. It is a result of a nail growing into the skin that
surrounds it. The improper trimming of the nails, tight shoes, or
injury to the nail can cause ingrown toenails. Often they seem to
occur for no reason at all.
If they become infected, you should soak
them in warm water and Epsom salts, apply an antibiotic ointment and
make an appointment to have them treated.
Treatment is simple and
painless in most situations. You can resume normal daily
activities
within a day.
Hyperhydrosis
Commonly referred to as sweaty feet is
caused by excessive perspiration on the sole of the foot and between the
toes. Sometimes this condition is related to mental stress and
nervousness, but systemic diseases such as anemia and hyperthyroidism
can be involved.
Treatment
may involve applying an
antiperspirant containing aluminum chloride, wearing absorbent socks,
avoiding synthetic materials, and or applying foot powder.

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