Why Do My Toenails Hurt?

Happy and sad toes: Ingrown toenails

Quite a question, I know. But, a real problem for some—even young, healthy people! You see, some of us are born with very mild toenail deformities that create a curved nail growth pattern. Seems harmless until you start noticing things like, “My big toes hurt whenever I exercise,” or, “The sides of my toes get red and sore whenever I wear dress shoes.” Ingrown toenails. Not fun.

Here’s the secret to eliminating ingrown toenail pain—Foot Doctor Tricks! Seriously, there are trimming and lubricating tips that can prevent this pinching pain in the toes. Don’t try anything on your own, or the problem could worsen. A trained podiatrist can show you the tricks and tips you need to get rid of that pain. And, if “tricks” don’t work, we always have a highly successful office procedure called a matrixectomy.

So, don’t suffer! Ask your podiatrist about how to get your ingrown toenails under control. The doctors at Raleigh Foot & Ankle Center will be happy to help you. You’ll be glad you did!

 

Photo credit: footphysics.co.uk 

Nail Your Unsightly Fungus {NOW} In Time for Summer

Toenails

I want to briefly explore nail fungus, as it’s a common topic we discuss with our patient. It’s often times as a secondary or tertiary concern to their main ailment of foot and ankle pain. Fungus in the nail can appear as white, dark or yellowing of the nail, with thickened, brittle, crumbly or ragged appearance. It is often times caused by a dermatophyte fungus, as they like to live in warm, moist environments like showers, swimming pools, and shoes. They can also invade through small cuts in the skin and separations between nail and nail bed.

Fungus more frequently affects toenails as they are usually exposed to the environment fungus likes to breed in, they have less blood flow, and the immune system can have more difficulty detecting the fungus. Risk factors of developing fungus include:

  • Age
  • Perspiration
  • Working in moist environments
  • Wearing shoes and socks that don’t allow proper ventilation or absorb moisture
  • Living with someone with fungus
  • Walking barefoot in damp communal areas such as showers, pools and gyms
  • Having athlete’s foot infection
  • Other conditions such as diabetes, circulation problems, and weakened immune system.

Prevention can sometimes be accomplished by washing your feet regularly, wearing socks and shoes that absorb sweat and reduce humidity, discarding old shoes, using antifungal sprays in your shoes, not going barefoot in public areas, not using nail polish or artificial nails (with the exception of KerryFlex nails), and utilizing only sterile nail salons, like the one featured at Raleigh Foot & Ankle Center. Current treatments include topical medication, oral medication, and laser treatments. For any patient who is truly ready to get rid of their fungus, I recommend a synergistic approach of utilizing all three types of treatment, including antifungal spray for shoes. This gives the best chance of treating the fungus from all angles, getting rid of the fungus and keeping it away. It can take 6 months to notice treatment effectiveness, and up to a year to completely resolve, so get treated today to have beautiful nails for next summer!

 

Don’t forget about Raleigh Foot & Ankle Center’s laser special, going on during the month of October: come in and get laser treatment THIS MONTH and receive a FREE toenail care kit.

 

 

Trick or Treat, Smell My Feet

Trick or Treat

Remember trick-or-treating as a kid? Going from door to door, ringing the bell, and the old saying, “Trick or treat, smell my feet, give me something good to eat!” Well smelly feet can be a real problem. Smelly feet tend to cause problems for people with excessively sweaty feet and people whose feet spend too much time in enclosed shoes. If your feet are always smelly, you might want to try asking your doctor if there is anything he can do for you. Wash your feet daily with soap and water, and dry them well. That way, you can enjoy your Halloween smell-free, and focus on the costumes, candy, and fun with the kids.

For solutions on how to rid yourself of smelly feet, try making an appointment or browsing solutions in our online store.

I Saw a Patient Today…

I saw a patient today who came in with heel pain, but as it turns out, that was not the only thing she wanted to discuss. She mentioned how happy she was with herself during the conversation because she was so chatty. This is an unusual comment during a medical examination. As it turns out, she is taking some classes with a psychologist to learn how to be more social, because she suffers from bipolar disorder. She feels that they are working very well and that it is time well spent. She discussed her life a little bit, and it is difficult because she has this mental condition. It seems more difficult for her because people often perceive her lack of social grace as being aloof or that she is dis-interested. Also, on occasion she will have to be hospitalized for several weeks. This, of course, takes her out of the very social circles she wants so desperately to be a part of. It is also very difficult to explain where she has been when she returns. Without a pretty constant struggle, this patient finds it very difficult to continually engage with those she knows, works with, and sometimes even with her family.

The lesson for us here is perhaps that when we meet someone who is not as socially adept as we are or as we would like for them to be, that we might extend them a little grace and compassion. Perhaps they are in a situation like this young lady and are desperately trying to find friends and be accepted. Just a little extra effort on our part when we meet people different from us might really, in both the short term and long term, actually change her life. I have made a commitment since I met this young lady to really try to be more flexible, patient and tolerant of those not exactly like I would like them to be or exactly like the people I’m used to being around. This young lady turns out to be a wonderful person and wants to be loved and appreciated just like all of us. I want to help them just like I would want to be helped if I were them. Maybe someone should come up with a golden rule about that!

Cheers to Fall and the Beginning of Marathon Season

Fall Marathon Runner

Cool crisp mornings and the changing of the leaves not only signifies the beginning of fall, but also the marathon season. On a recent long run, I spent some time really thinking about this season. I have a few marathons under my belt these days, but I remember my first – almost 17 years ago – like it was yesterday. Not only because it was my first marathon, but I was training and running with a beautiful young woman I had recently met (who is now my wife).

She really jump-started my passion for running long before I was a podiatrist, or even thinking about podiatry school. Thank goodness it was an amazing experience, and any runners out there that have completed a marathon can relate to that life changing moment when you push past all the pain and cross the finish line. Back then, I did not give much thought to shoes, training, or injuries. However, these days as a podiatrist that races in marathons and triathlons, this topic is high on my priority list!

Those of you out there packing on the mileage and preparing for a race, please listen to your feet. Foot pain when running is not normal and ignoring it can prevent you from finishing or possibly even starting that important race. If you are experiencing pain, get it checked out sooner rather than later. Often, there are treatments that can keep you running. Trust me when I tell you as a doctor and a runner, you do not want to train hard and miss that glorious finish. Cheers to fall!

Heel! (Specifically, Heel Pain – Ouch!)

Dr. Woelffer's dog

Pain in the heel is one of the most common symptoms seen by foot & ankle specialists—and it is not fun! People with heel pain suffer. Whether it is a fresh injury keeping you from walking across the bedroom floor, or a chronic injury not allowing you to exercise regularly, frustration can really reach a boiling point.

Now, some good news. You don’t have to live with heel pain!! Many treatments exist and most lead to a complete recovery. What is the key to success? A plan. A focused strategy to do all the things that are good for healing while eliminating the things that are bad. Usually, it can be a pretty simple plan; home exercises, shoe wear changes, custom shoe inserts (orthotics). All are examples of simple treatments. Of course, there are many more treatments for heel pain. Surely, there is a plan for you, right?

Having heel pain is a drag. It’s time for a plan.

For more information about how your can help get rid of your heel pain, download our informational brochures from our website. Raleigh Foot & Ankle Center is a team of skilled podiatrists located in Raleigh, NC who are dedicated to advanced foot and ankle care.

Start Back to School With the Right Foot Forward!

Children at school classroom

Heading back to school is an exciting time in and of itself; there is no need to complicate things with unhappy feet!  In this post I will highlight a few of the things we at Raleigh Foot & Ankle Center think are important healthy feet tips for your kids as they head back for another successful school year!

Back to school shopping is a ritual that parents, and inherently children, partake in on a yearly basis.  A big reason for this is the fact that our little loved ones are constantly out-growing old clothes. This includes their shoes as well!  It is important to pay close attention to shoes that may be too small or causing pain, as they may need new shoes as often as every few months during “growth spurts.”

It is important that we teach our kids about sharing, but this should exclude shoes!  Parents really shouldn’t hand down shoes from one kid to the next, as often times this can promote the spread of conditions such as Athlete’s foot and toenail fungus.  It is also rare for both children to have exactly the same foot type, so their shoes likely won’t fit the same anyways.

Shoes should be comfortable straight out of the box.  Any excessive “break-in” period could mean that the shoes don’t actually fit well.  Make sure to keep an eye on how the shoe is wearing on the bottom as well.  If you notice areas of heavy wear, such as the heels or forefoot area, you should see your local foot & ankle expert to ensure there isn’t something biomechanically that needs to be altered.  The good news is that sometimes all that is needed is a simple custom insert to re-align biomechanical instability and promote good lower extremity health for life!  A simple analogy to orthotics keeping foot pain away is brushing your teeth to keep cavities away.

We wish you all the best of luck in this new school year, and look forward to sharing in your success stories when you come by the office!

I Saw a Patient Today…

Elderly Patient

I saw a patient today and she was exhausted. Not for the usual reasons mind you, but because of a commitment she made 55 years ago. Her husband of those years has ALS and she does pretty much everything for him. It’s been going on for a long time and though she is pretty much worn out, she troops on. Her heel pain hasn’t made it easier so I’m trying to do my little part to help both of them by helping her feet get better.

It’s wonderful to see someone who stands by their word for that long.

I’ll bet she’ll never know how encouraging her actions are to those around her and to me. I want to be a person of my word, even though it might cost me a lot. I hope you do too.

 

To find out more about ALS or to find out how you can help support the cause, go to www.alsa.org.
Check out Raleigh Foot & Ankle Center’s #ALSicebucketchallenge on our Facebook page.Check back this week to see our doctors getting dunked with ice!

 

I Saw a Patient Today… is a monthly feature by Dr. Robert Hatcher. Check back the last week of each month to hear his insights and stories of what he learns from patients at the office. Let us know what you think!

Bare Feet are Fun! (Right?)

Bare Foot Woes

Ah, the feeling of sand squishing between my toes as I stroll on the beach; so natural, so free. Many of us love the feeling of being barefoot. My 3 little kids live for it. It takes them hours to put on their shoes, but only seconds to take them off! The adults I meet at work as a podiatrist often feel the same way, saying, “It just feels good.” Yep. I agree. There is something special about the way being barefoot feels. Maybe it is Mother Nature telling us, “This is the way it should be.”

But, I also have lots of times when I notice my kids, my patients, and myself extolling the virtues of shoes. “These gel-air-pump-turbo running shoes I just bought feel amazing,” patients tell me. Or, I might find myself in the closet on the morning of my surgery day thinking, “Good day for my old man dress shoes today.”

So, what is better, living in supportive shoes, or living in bare feet whenever possible? The answer is different, and depends on each person’s “Achilles heel”, or problem. Generally speaking, if you have foot pain, it is best to increase your time in supportive shoes, even custom orthotics, and minimize your time barefoot or in flimsy footwear. You don’t want your feet doing the work of holding you up. Let the footwear do the work. If your feet don’t hurt, but other joints do, such as your knees, try using less supportive footwear. This will allow maximum motion in your foot and ankle joints, letting your feet perform as they were intended, as your natural shock absorbers. (This is a good situation for “barefoot running shoes”.)

Now, let’s get back to my favorite subject, my kids. Like most young people, they have pain-free happy feet. They don’t crave the benefits of support because nothing hurts—until chocolate lab Jake steps on their foot! Ouch! Yep. Being barefoot has its problems. A person is much more prone to cuts, scrapes, puncture wounds, bug bites, and nail injuries when he or she is barefoot. Trust me, I know. I have the pleasure of hearing blood-curdling screams daily from the shoe-resistant children in my house. Not to mention, I get to observe the problems with barefoot summertime fun every day at work. Bare feet can feel good, but sometimes there’s a price to pay.

Anyway, this post is not inclusive of all the good and bad associated with bare feet. (I could go on for days!) It is just a simple reminder that our feet are important and need our attention—especially if you hope to feel the sand squishing between your toes for years to come. Happy walking!

Introducing Dr. Jordan Meyers!

This month Raleigh Foot & Ankle Center has been excited to welcome Dr. Jordan Meyers to our office! We sat down and asked Dr. Meyers a few questions to help you get to know him a little better:

Dr. Jordan Meyers

Q: What is your background?

A: I moved to North Carolina when I was 11, so I really feel that I did most of my growing up here and have the strongest connection to North Carolina. I attended Cardinal Gibbons for high school and then East Carolina University (Go Pirates!). From there I headed North to Philadelphia to attend the Temple University School of Podiatric Medicine. I received my surgical training at the University of Louisville Hospital in Kentucky, all to eventually return back to North Carolina.

Q: Do you have a specialty or preference in what type of foot conditions or ailments you treat?

A: It is difficult for me to say that I enjoy treating one foot condition or ailment over another. In my opinion, the best part of my job is getting to meet new people, learn about their lives and their families, then find out how I can help alleviate their pain or condition so they can return back to what they enjoy doing. I feel very fortunate to have trained at such a diverse program that allows me to comfortably and quickly treat all conditions. Being an avid hockey player, I am also working to specialize in treating hockey injuries as I understand the unique nature of trauma and biomechanical stresses the foot and ankle undergo from hockey skates. My goal is to keep players of all ages on the ice!

Q: What are you most excited about in starting to see patients at Raleigh Foot & Ankle Center?

A: What I am most excited about is being able to bring my unique skill set to provide care for the great people of North Carolina. My wife, an operating room nurse, is also directly involved in providing care for patients. We are both excited to return back to North Carolina and provide exceptional care for people in a place that has provided us such a wonderful area to grow up in.

Q: What do you like to do for fun?

A: I enjoy spending time with my wife and young daughter! I also enjoy playing ice hockey, playing golf, working out, and volunteering my time and services to give back to the community.

Dr. Meyers is excited to be treating your feet! Stop by and help us welcome Dr. Meyers back to North Carolina!