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Ingrown Toenails and the Winograd Procedure

Ingrown Toenails and the Winograd Procedure

Ingrown toenails occur when the edges of a toenail grow into the surrounding skin, leading to pain, redness, and swelling. Common causes include improper nail trimming, tight footwear, and foot injuries. Symptoms include throbbing pain and discomfort, especially when wearing shoes. Treatment typically begins with conservative measures like soaking the foot and using roomy shoes. However, for persistent cases, the Winograd procedure may be necessary. This surgical method involves removing the ingrown portion of the nail and the underlying tissue to prevent the nail from growing back incorrectly. The procedure is usually performed under local anesthesia, minimizing discomfort and ensuring a quick recovery. A podiatrist specializes in diagnosing and treating ingrown toenails, providing personalized care and expert guidance. If you are experiencing symptoms, it is suggested that you make an appointment with a podiatrist. They can offer effective treatments, including the Winograd procedure, to relieve your pain and restore your foot health.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors 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 one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Investing in Custom Orthotics Means Investing in Foot Health

Investing in Custom Orthotics Means Investing in Foot Health

Custom orthotics offer a tailored approach to foot health, providing a host of benefits that extend far beyond conventional shoe inserts. One of the primary advantages lies in their ability to address specific biomechanical issues. Unlike off-the-shelf inserts, custom orthotics are crafted based on an individual's unique foot structure, gait, and any existing foot conditions.

The personalized design of custom orthotics ensures optimal support for the arches, promoting proper alignment and distributing pressure evenly across the feet. This can be particularly beneficial for individuals dealing with issues such as overpronation or underpronation, as custom orthotics help correct imbalances that may lead to discomfort or injury.

Beyond biomechanics, custom orthotics can alleviate a range of foot problems, including plantar fasciitis, bunions, and metatarsalgia. They provide targeted relief to areas under stress, reducing pain and inflammation. Additionally, for those with specific medical conditions like diabetes, custom orthotics can play a crucial role in preventing complications associated with poor foot health.

Comfort is another key aspect of custom orthotics. By accommodating the unique contours of an individual's feet, these inserts enhance overall comfort, making daily activities more enjoyable. Whether for athletes looking to optimize performance or individuals seeking relief from chronic foot pain, custom orthotics offer a versatile solution.

Investing in custom orthotics is an investment in long-term foot health. They not only provide immediate relief but also contribute to the prevention of future issues. With the ability to seamlessly integrate into various types of footwear, custom orthotics empower individuals to prioritize foot comfort without compromising on style. In essence, custom orthotics are a personalized prescription for happy, healthy, and pain-free feet.


 

Custom Orthotics for Unilateral Plantar Fasciitis

Custom Orthotics for Unilateral Plantar Fasciitis

Custom foot orthotics are an effective treatment for reducing first-step pain in people with unilateral plantar fasciopathy, a painful condition that affects one foot. This affliction involves the thick band of tissue known as the plantar fascia on the bottom of one foot, usually causing discomfort in the heel or arch, especially with the first steps after rest. Custom orthotics are designed to fit the specific shape and needs of the affected foot, offering better support and cushioning. By providing targeted support to the arch and heel, orthotics reduce the strain on the plantar fascia, the ligament causing the pain. This helps to ease discomfort, especially during the first steps of the day. Unlike generic insoles, custom orthotics are tailored to the individual's foot, improving alignment and reducing stress on the fascia. Over time, they can significantly improve pain levels and help prevent the condition from worsening. If you have heel pain, in one or both feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment, which may involve prescribing custom orthotics.

If you’re experiencing foot discomfort, have a history of foot and ankle injuries, or are interested in exploring Custom orthotics, don’t hesitate to contact one of our podiatrists at Biebel & DeCotiis Podiatry Associates. Our doctors is dedicated to offering the care required to help you remain pain-free and stay on your feet. 

What are Custom Orthotics?

Custom orthotics refer to custom inserts designed for placement in different shoe types, including athletic and formal footwear, with the purpose of alleviating a spectrum of foot-related problems such as flat feet, heel pain, and overall foot discomfort. These inserts are instrumental in providing relief and comfort for a diverse range of foot conditions, including heel pain, and can also act as a proactive approach to injury prevention. 

Medical Grade Shoe Inserts: 

A diverse array of shoe inserts is available for addressing foot pain, heel discomfort, and minor issues. For instance, you can place arch supports in your shoes to rectify overarched or flat feet, and gel and cushioned insoles are frequently chosen for the comfort and relief they provide from foot and heel pain by reducing pressure. 

If you have any questions please contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

 

 

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Wound Care

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Care for Open Wounds on the Feet

Care for Open Wounds on the Feet

Open wounds on the feet are common injuries that vary in type and severity. Types include abrasions or scrapes, lacerations or deep cuts, punctures, and ulcers. These wounds are prone to infection without proper care, especially since feet are often exposed to bacteria. In severe cases, untreated wounds can lead to complications like cellulitis, abscess formation, and even tissue death that require more intensive intervention. Basic treatment includes cleaning the wound, applying an antiseptic, and covering it with a sterile dressing. Podiatrists may recommend antibiotics for infections, debridement to remove dead tissue, and wound care products to promote healing and prevent complications. If you have a foot wound due to an underlying medical condition like diabetes, or if you notice signs of infection, such as increased redness, swelling, warmth, pus, or worsening pain, it is strongly suggested that you visit a podiatrist for care.

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 one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors 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 one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Plantar Fibroma

Plantar Fibroma

A plantar fibroma is a knot in the arch of the foot. It can cause pain when repeated pressure is applied by walking barefoot or wearing tight shoes. While plantar fibromas can appear in anyone, men who are middle-aged or older are said to be more susceptible. The main symptom of a plantar fibroma is a firm lump on the arch of the foot. If there is pain, it can be intensified by putting pressure on the nodule. The lump can stay one size or grow larger. You may have one or more fibromas in the feet and there tends to be a high incidence of recurring plantar fibromas.  Generally, a plantar fibroma can be treated without surgery. Treatment might include steroid injections to help shrink the lump, orthotics to help redistribute weight away from the nodule, plantar fascia stretching, or physical therapy to help use anti-inflammatory medication on the lump. If a lump grows larger or more painful, a podiatrist can be consulted to confirm the diagnosis. The doctor will palpate the lump and this may cause pain that can be felt all the way to the toes. An X-ray, MRI, or biopsy might be done if further evaluation is necessary. A lump in the arch of the foot might be something other than a plantar fibroma, such as cysts, nerve or fatty tumors, swollen tendons, or an infection in the foot. It is important to see a podiatrist for proper diagnosis and treatment of plantar fibromas.

Understanding a Plantar Fibroma

Understanding a Plantar Fibroma

A plantar fibroma is a benign tumor that develops in the plantar fascia, the thick band of tissue running along the bottom of the foot. Typically found in the arch, it appears as a firm lump that may cause discomfort during walking or standing. Diagnosing a plantar fibroma involves a thorough medical history and physical examination, where a podiatrist will assess the lump's size, location, and texture. Imaging studies such as ultrasound or MRI scans may be employed to confirm the diagnosis and rule out other conditions. The exact causes of plantar fibromas remain unclear, though factors such as genetics, trauma, and certain medical conditions may contribute to their development. Having a plantar fibroma can be uncomfortable. If you have developed this condition, it is suggested that you consult a podiatrist who can offer you relief options.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Are You Suffering From Ingrown Toenails?

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Foot and Ankle Surgery

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition.  A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case.  Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery.  Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome.  A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications.  Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered.  Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed.  Typically, all postoperative care involves rest, ice, compression, and elevation.  To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes.  He will also determine if and when you can bear weight.  A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.  

Partial Nail Avulsion for Ingrown Toenails

Partial Nail Avulsion for Ingrown Toenails

Partial nail avulsion is a surgical procedure used to treat ingrown toenails, a condition where the edge of the toenail grows into the surrounding skin, causing pain and inflammation. This procedure involves the removal of the affected portion of the toenail to alleviate discomfort and prevent recurrence. During the procedure, a podiatrist first administers a local anesthetic to numb the toe, ensuring minimal discomfort. Once the area is numb, the doctor carefully lifts the ingrown edge of the nail and removes it, allowing the surrounding tissue to heal. In some cases, a chemical agent may be applied to prevent the nail from growing back in an ingrown manner. Recovery typically involves keeping the area clean and dry, with follow-up care to monitor healing. This treatment can provide significant relief for individuals suffering from painful ingrown toenails. If you have an ingrown toenail, it is suggested that you consult a podiatrist who can determine if this type of minor foot surgery is right for you.


 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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