Posts for tag: Ingrown Toenail

By Affiliated Foot & Ankle Care
January 02, 2019
Category: Foot Health

It’s the time of year for New Year’s resolutions and we at Affiliated Foot & Ankle Care think it’s a good idea to resolve to take better care of your feet this year. It doesn’t require a lot of time or effort—just a commitment to some basic foot care practices. Below are five easy ways to ensure good podiatric health this year.

  1. Commit to a daily care regimen. Taking just a few minutes each day, you can greatly reduce your risk of bacterial and fungal infections in your feet. Wash feet every day with soap and warm water. Dry completely and be especially careful to get the spaces between your toes. Use a foot powder each morning to help keep feet dry if you sweat excessively. A good moisturizer at night can keep skin supple and prevent heel cracks.
  2. Buy better shoes. Your footwear choice is one of the biggest factors in preventing foot problems. It’s important to wear shoes that fit properly. Some studies estimate that as many as 90% of people are wearing shoes that are too small for their feet. Your feet can get larger as you age. Get your feet professionally measured. Look for styles with low heels and a roomy toe box to help prevent toe deformities such as bunions and hammertoes.
  3. Examine your feet regularly. Nearly all foot problems have a better outcome if they are treated in their early stages. Look over your feet, top and bottom, and note any discoloration of the skin, changes in nails, bruises, swelling or lumps. Be sure to report anything unusual to our podiatrists, Dr. Ben Gujral and Dr. Nrupa Shah who will examine your feet and find out if you have a condition that needs treatment.
  4. Practice good nail care. Nails should be trimmed, but not too short. Never file toenails with rounded edges as this may encourage skin to grow over the nail and create an ingrown toenail. Don’t pick at your nails or cuticles as this may lead to an infection.
  5. Don’t ignore foot pain! Putting off seeking treatment will only make foot conditions worse and even cause additional injury. If you are experiencing any foot or ankle discomfort, contact our Edison, Monroe, Linden or Monmouth Junction office in New Jersey for an appointment by calling: 732-662-3050.
By Affiliated Foot & Ankle Care
September 12, 2018
Category: Ingrown Toenails
Tags: Ingrown Toenail  

Perhaps one of the more painful, common conditions that we treat at Affiliated Foot & Ankle Care is the ingrown toenail. When a nail grows into the nail bed it can become red, swollen, and very tender to the touch. It’s so painful that often patients put off coming to us (which only allows the condition to get worse) because they fear how much the treatment will hurt. When an ingrown toenail is severe, or an infection has developed, our podiatrists, Dr. Ben Gujral or Dr. Nrupa Shah can do a procedure known as a partial nail plate avulsion. First, we numb the toe with an anesthetic. Then we can cut out the ingrown portion of the nail. Patients leave the office in much less pain then they came with.

Avoiding Ingrown Nails

Of course, it’s always better to prevent a foot or nail problem in the first place. Below are some ways you can help stop an ingrown toenail before it starts:

  • Trim nails correctly—improper trimming is the number one cause of ingrown toenails. Nails should be cut straight across and with no rounded corners. It’s also important not to trim nails so short that the skin of the toe can easily flap over the nail.
  • Don’t wear shoes and socks that are tight. The constant pressing of the toes together encourages ingrown nails to form.
  • Wash your feet daily. If you think an ingrown toenail is starting, you can soak the foot in warm water several times a day and gently massage the corner of the nail out of the skin.

No “Bathroom Surgery” Please

Do not attempt to cut the nail out yourself—this can lead to serious injury and infection. Avoid home remedies such as sticking a piece of cotton under the nail or cutting a notch out of the nail. These also will not work and will damage the nail and the toe.

If you have an ingrown toenail, don’t suffer needlessly. Contact our Edison, Linden, Monroe or Monmouth Junction office in New Jersey for an appointment today by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
April 18, 2018
Tags: Diabetes   Ingrown Toenail  

Sometimes referred to as “poor circulation,” peripheral arterial disease or PAD is a serious condition that affects your legs and feet (as well as the rest of your body). At Affiliated Foot & Ankle Care, we want patients to be informed about this disease and to know the risks. Below are some facts about PAD:

  • PAD occurs when cholesterol and other material (known as plaque) stick to the walls of arteries, narrowing them and thus restricting blood flow (hence “poor circulation”).
  • Lack of circulation greatly slows and impedes the healing process. This means that even cuts, blisters, and minor foot ailments like an ingrown toenail can become a serious health risk. The injuries to the skin don’t heal and infection can easily set in.
  • Although PAD most often affects your legs and feet it can occur in other parts of the body and when blood flow is restricted to vital organs like the brain or heart there can be serious consequences such as stroke or heart attack.
  • PAD can develop on its own, but it is often associated with other diseases such as diabetes, heart disease, and hypertension. Risk factors for this disease include smoking, high cholesterol, being over age 50, sedentary lifestyle and a personal or family history of PAD.
  • Many patients with PAD have no symptoms when the disease is in its early stages. As arteries become more blocked the following symptoms may occur: leg cramps, numbness or weakness in the legs, change in skin color and loss of hair, legs feel cold, toenails become thickened and/or discolored. Another sign is sores on legs, feet or toes that do not seem to be healing.
  • There are both medical and surgical treatments available for PAD. In many cases, however, lifestyle changes such as improving diet, starting an exercise program and stopping smoking are the first lines of defense.

PAD can be dangerous. If you have any signs described above or if you have one or more of the risk factors for PAD, it’s important to talk to one of our podiatrists, Dr. Varun (Ben) Gujral or Dr. Nrupa Shah about assessing your potential for developing this condition and what you can do to prevent it. Contact our Edison, Monroe or Monmouth Junction office in New Jersey by calling: 732-662-3050.

By Affiliated Foot & Ankle Care
April 02, 2016
Tags: Ingrown Toenail  

A painful condition that we see frequently at Affiliated Foot & Ankle Care is an ingrown toenail. A nail becomes ingrown when the side of the nail curves downward and begins to grow back into the skin surrounding the nail bed. When this occurs, the nail can actually penetrate the skin and eventually become infected.

Signs of Ingrown Toenails

A patient that is not in the habit of examining his or her toenails may not initially be aware of an ingrown nail. When it progresses to the point where the nail has actually broken the surface of the skin, however, then the affected toe will become very sore, red and swollen and may feel hard and warm to the touch. If an infection has developed, there may be drainage coming from the nail bed area as well.

Treatment and Prevention

Sometimes simply soaking the foot in warm, soapy water several times a day will loosen the skin around the nail enough that the ingrown nail can be worked out. If this does not work, make an appointment to see one of our podiatrists, Dr. Varun Gujral or Dr. Nrupa Shah who will examine your toenail and determine the proper treatment. If the nail has become infected, an antibiotic will most likely be prescribed. In extreme cases, a minor surgical procedure known as a partial nail plate avulsion may be necessary to remove all or part of the ingrown nail.

There are several factors that cause ingrown nails that you can take steps to avoid:

  • Cut your toenails straight across and don’t cut them too short. Improper trimming is one of the major causes of ingrown nails. If the nails are cut too short, the skin next to the nail is more likely to grow over it.
  • Make sure socks and shoes are not too tight. Repeatedly compressing the toenails can cause them to begin to ingrow. Even with properly fitting footwear, patients who run or participate in other high impact sports frequently or who have jobs that require them to be on their feet for long periods of time, may find that the constant pressure of the big toe pushing against the front of the shoe can cause an ingrown toenail.
  • Be watchful if you’ve injured your toe or have a fungal nail infection. Trauma and fungal infections can both lead to ingrown nails, so keep an eye on any nail that has been injured or infected.

Do not ignore an ingrown toenail. Left untreated, they will only get worse and an infection will most likely occur. Contact our Edison, Monroe or Monmouth Junction office for an appointment to get relief for this painful condition.

Leg and foot injuries are common in sports like basketball, football, and soccer (just to name a few). But you rarely hear of someone breaking their foot/leg during a NASCAR race. That’s just what happened though to 29-year old Kyle Busch. He hit a concrete wall during an Xfinity Series race at the Daytona International Speedway and was said to have broken his right leg and he also sustained a midfoot fracture of his left foot. Unfortunately, this means he will miss the highly popular Daytona 500. This injury may have been avoided had the Speedway installed the SAFER (steel-and-foam energy reduction) barrier. “We’re going to fix that. We’re going to fix that right now” said Daytona track president, Joie Chitwood.

 Motor vehicle accidents (MVA) are common causes of lower extremity injuries; especially the ones sustained by Mr. Busch. Although not common throughout the general population, midfoot fractures (also known as Lisfranc fracture dislocations) are commonly associated with MVA’s. These fractures only comprise 0.2% of all foot fractures. The midfoot joint is comprised of the bases of your metatarsal bones and your three cuneiforms and cuboid bones. The Lisfranc joint also has a Lisfranc ligament which attaches to the lateral aspect of the 1st cuneiform and the medial aspect of the base of the 2nd metatarsal bone. Once this injury occurs it is likely the patient will need to have surgical intervention as conservative treatment does not seem to work as well. There are different degrees of this injury which correlate to different surgical approaches. So, if you have sustained this type of injury please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care located in Monroe and Edison, NJ. Although surgery usually helps alleviate the symptoms, post-traumatic arthritis usually occurs in all patients with this type of fracture.

 Lower extremity injuries are most common in high impact sports or sports that involve lots of cutting and jumping. Although this isn’t the case in NASCAR, they are traveling at speeds exceeding 200mph so if they do crash I would expect to see them injure some part of their body. From everyone here at AFACare, we would like to send our condolences to the Busch family and hope he has a speedy recovery.

 By Nrupa Shah