My Blog

By Michael Guerra, DPM
November 27, 2019
Category: Podiatry
Tags: toenail fungus  

Toenail fungus is a common problem that can be rather challenging to get rid of. While toenail fungus can happen to anyone it most often occurs in older adults. If you are noticing that one of your toenails has thickened, become brittle and turned yellow then chances are good that you are dealing with a toenail fungus.

What causes a fungal infection in the toenail?

A toenail fungal infection, known as onychomycosis, is the result of a fungal known as a dermatophyte. While less common, molds and yeasts can also infect the toenails. The reason older adults are more prone to fungal nail infections is because nails dry out as we age, which leads to cracks within the nail. These cracks make it easier for a fungal infection to get inside the nail.

Fungal is all around us. They are more often found in warm, dark, and damp places such as communal locker rooms and showers, gyms, and local swimming pools. It’s also possible to get a toenail fungus from a nail salon so it’s important to know the hygiene and sterilization practices of your local nail salon to make sure that you aren’t at risk for developing a fungal infection.

Treating Toenail Fungus

The good news it that healthy individuals may be able to tackle their toenail fungus on their own with over-the-counter medication. If you don’t have a weak immune system, diabetes or circulation problems then you may choose to try at-home treatments first before turning to a doctor. Those with circulation disorders or diabetes should see their podiatrist right away for treatment if they notice symptoms of a fungal infection. Not seeking treatment could greatly increase a person’s risk for bacterial infections and other potentially serious complications.

There are many over-the-counter products available to treat fungal infections. You will want to find a treatment that is geared specifically to treating fungal infections of the nail. Talk with your local pharmacist to find out the best treatment option. Over-the-counter antifungal medications often come in the form of a cream, ointment or nail polish that you will need to apply regularly for several weeks. If these medications don’t work then it’s time to talk with your foot doctor.

A foot doctor offers a variety of effective strategies for getting rid of toenail fungal infections. The most common treatment option is an oral antifungal medication that works systemically to kill the fungus. This medication is taken for several weeks but you won’t actually see results until the nail grows out clear, which can take up to four months or longer.

Other treatment options include:

  • Medicated nail polish
  • Laser fungal treatment
  • Nail removal surgery (in rare cases)

If you are dealing with a pesky nail fungus then turn to your podiatrist to discover the best strategies for getting rid of this infection as quickly as possible.

By Michael Guerra, DPM
October 31, 2019
Category: Podiatry
Tags: Foot Care   Baby Feet  

A child's feet grow rapidly during the first year, reaching almost half of their adult foot size. This is why podiatrists consider the first year to be the most important in the development of the feet. Proper care at a young age is essential for healthy development.  Since many adult foot ailments develop in childhood, periodic visits to your child’s podiatrist and basic foot care can help minimize these problems later in life.

A child’s feet are formed from soft, pliable cartilage which makes them more susceptible to deformities. A young child can be affected by foot conditions such as:

  • Intoeing
  • Out-toeing
  • Flat feet
  • Warts
  • Heel pain

Tips for Parents

Parents can help promote normal, healthy foot development for their baby.

  • Examine your baby’s feet regularly. If you detect anything unusual, contact your child’s pediatrician or podiatrist right away.
  • Encourage exercise.  Lying uncovered allows the baby to kick and move feet and toes freely so not to inhibit normal development.
  • Cover feet loosely. Tight clothing or covers restrict movement.
  • Alternate your baby’s position several times a day. Lying too long in one spot may place unnecessary strain on the feet and legs.

Growing Up

As your baby continues to grow and develop, so will the feet. It may be necessary to change shoe and sock size every few months, as tight-fitting footwear can aggravate pre-existing conditions. After your child takes their first steps, you should also carefully observe walking patterns. Intoeing, out-toeing, and gait abnormalities can be corrected when they are detected early.

A baby’s feet will carry them throughout life, so it’s important to begin good foot care at a young age. Neglecting your child’s foot health invites problems in other parts of the body, such as the back and legs. Whether you have questions about your child’s foot health or suspect a problem with the development of your child’s feet, please contact our office. We want every step your child makes toward adulthood to be pain-free and easy!

By Michael Guerra, DPM
September 27, 2019
Category: Podiatry
Tags: Bunions  

With the ability to cause nagging discomfort throughout the day and prohibit daily movements as simple as walking, bunions can quickly turn from a barely noticeable bump on your toe, to a painful deformity that detracts from your over wellbeing. Fortunately, if caught early, you can prevent this podiatric issue from developing into a serious problem. Read on to learn if you could be suffering from this condition, and whether you should take a visit to your local podiatrist.

 

Signs That You May Have a Bunion

Generally forming on the side of your big toe, bunions are hard, bony lumps that are often caused by wearing poorly-fitted shoes (especially high heels), having genetic predispositions, or experiencing a foot injury. If you think that you may have a bunion, be on the lookout for these symptoms:

  • A bony protrusion at the base of your toe
  • A generally red discoloration
  • A feeling of tightness in previously comfortable shoes

The above-listed symptoms describe the beginning stages of a bunion, a point during which your podiatrist will likely recommend a conservative approach to treatment. However, you may require more extensive medical care if you begin to notice these signs:

  • Persistent pain and swelling
  • Periodic numbness of the foot
  • Restricted and slowed movement of the toe/foot

 

Treatments

For less serious bunion cases, ones in which there isn’t pain yet and movement is still unrestricted, your podiatrist may recommend:

  • Soaking your foot in warm water
  • Taking anti-inflammatory medications such as Aspirin
  • Wearing appropriate shoe inserts
  • Avoiding tight-fitting footwear

In severe bunion cases, your podiatrist will likely recommend a more rigorous treatment approach in order to alleviate pain and increase mobility. Some of these options include:

  • Custom-made orthotics to maintain toe alignment
  • Regular physical therapy and a specialized exercise regiment
  • Bunionectomy, a surgery to remove the bunion and realign the foot (this is only necessary in the most extreme of cases)

 

Concerned? Contact Us

If you feel that bunions are disrupting your life, then take the pro-active approach and schedule an appointment at our office to learn how to regain your health.

By Michael Guerra, DPM
September 26, 2019
Category: Podiatry
Tags: Plantar Fasciitis  

Is heel pain affecting your feet in Burlington, VT? If so, you may be wondering what’s going on and whether it’s something you can treat on your own. Our podiatrist Dr. Michael Guerra sees a lot of patients suffering from heel pain associated with plantar fasciitis. Not sure whether you are dealing with plantar fasciitis? Here’s how to tell,

While there are many conditions that can cause heel pain the most common cause is plantar fasciitis, a condition that leads to irritation or inflammation of the plantar fascia. The plantar fascia runs lengthwise along the soles of the feet and provides the arches with support. Therefore, you may be dealing with plantar fasciitis if you experience heel pain and stiffness at the bottom of the heel that may radiate to the arches of the feet. There may even be swelling around the heel.

Heel pain will usually be worse in the morning when first getting up. This is because the relaxed and constricted fascia stretches out when you move; therefore, those first few steps may result in a stabbing and severe pain that usually eases up as you continue to move around. Exercising, climbing stairs and other physical activities can also exacerbate your pain.

Don’t Ignore Heel Pain

It may be tempting to just go about your day or even continue working out despite the pain but this is a bad idea. Foot pain, particularly any new or persistent pain, should be evaluated by our Burlington, VT, foot doctor as soon as possible. After all, there are many issues that could cause heel pain and you might not have plantar fasciitis.

Luckily, plantar fasciitis can often be treated with simple conservative care such as resting, icing, stretching and wearing appropriate footwear that supports the arches of the feet. A podiatrist may prescribe custom orthotics if you are prone to heel pain. Those with chronic heel pain may require more aggressive treatment such as shockwave therapy, steroid injections and even surgery (in very rare cases).

If you are dealing with heel pain for the first time it’s important that you have a foot specialist in Burlington, VT, that you can turn to for an evaluation. Burlington Podiatry is here to provide you with the care you need. Call our office today.

By Michael Guerra, DPM
August 30, 2019
Category: Podiatry
Tags: Foot Odor  

The feet have more sweat glands than any other part of the body, which means they have the ability to sweat profusely. With your feet encased in your shoes all day and the sweat unable to evaporate, bacteria will begin to grow rapidly. Bacteria then begins to break down the sweat, generating an unpleasant odor. Other factors can contribute to increased perspiration, including anxiety, hormonal changes, medications and various skin conditions.

Foot odor is a common problem, especially among those who perspire excessively, but it can be both embarrassing and physically uncomfortable. If you suffer from foot odor, rest assured that simple lifestyle changes and improved personal hygiene can help reduce and eliminate the smell.

Easy Ways to Eliminate Foot Odor

Since most foot odor is caused from excess sweat and the growth of odor-causing bacteria, it's relatively easy to control and reduce foot odor on your own. Start by taking the following preventative steps:

  • Keep your feet clean by washing them with an antibacterial soap on a regular basis to minimize bacteria.
  • Keep feet dry as moisture enables the growth of bacteria.
  • Alternate shoes and avoid wearing the same pair for multiple days in a row.
  • Choose open shoes such as sandals when possible, allowing air onto the feet which evaporates sweat and slows the growth of bacteria.
  • Wear cotton socks which wick away moisture and absorb perspiration.
  • Apply foot sprays and powders to the feet. Ask your podiatrist for recommended products.
  • Disinfect, wash and discard foul smelling shoes as necessary.

The causes of foot odor are typically not harmful to your health, but do create an environment for the growth of fungus and bacteria. It's not unusual for infections such as toenail fungus and athlete's foot to develop as a result.

When improving your foot hygiene doesn't help reduce the smell, you may need to visit your podiatrist, as persistent foot odor can indicate an infection or a severe case of hereditary sweating. In these cases, a prescription ointment may be required to treat the problem. Visit our office, and we'll work with you to determine the cause and most effective treatment for your condition!





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.