Blog

By Michael Guerra, DPM
March 31, 2021
Category: Foot Condition
Tags: Pigeon Toes  
Pigeon ToesDo your child’s feet turn inward? If so, it’s fairly easy to tell, particularly when they walk. This condition is known as pigeon toes and it is often genetic (so if you have a family history of pigeon toes chances are more likely that your child will develop this foot problem, too).
 
How are pigeon toes diagnosed?

When you bring your child into the podiatrist’s office, the specialist will examine your child’s walk and gait. They will also observe how your child stands to see if their feet turn inwards or to look at how your child’s hips are positioned. Your podiatrist may also recommend imaging tests to look at the alignment of the bones.

While a pediatrician may be the first person to look at and diagnose your child’s pigeon toes, a pediatric podiatrist is going to be able to provide your little one with the specialized treatment and care they need.
 
How are pigeon toes treated in children?

Most parents are relieved to find out that many children grow out of mild to moderate forms of pigeon toes. While this may take a few years, this is nothing to worry about and children won’t require special treatment or care.

However, if this issue is detected in your infant, they may need to wear a cast on the feet to fix the alignment before your child begins walking. A podiatrist can also show you a series of stretches and massages that can help the bones grow into the proper alignment.

If your child’s pigeon toes are still causing them issues by 10 years old, then you may want to talk with your podiatrist about whether surgery may be necessary to correct these bone alignment issues.
While mild pigeon toes may not be a cause for concern, children with more severe cases may have trouble walking or may not be able to participate in sports. Some children may also deal with teasing due to their condition. It’s important to discuss all of these issues with your child’s podiatrist so they can help you find the right treatment option to meet your child’s needs.
 
If your child has pigeon toes, it’s best to speak with a qualified foot doctor to find out the best way to address this issue to prevent mobility issues in your growing little one. A podiatrist can easily treat pigeon toes and other foot and ankle conditions in children, teens, and adults.
By Michael Guerra, DPM
March 02, 2021
Category: Foot Condition
Tags: Puncture Wound  
Puncture WoundA puncture wound in the foot occurs when you step on an object that leaves a small hole behind. One of the most common puncture wounds comes from stepping on a nail. Puncture wounds are not simply cuts and will require different treatment and care to prevent infection and other complications from occurring. If you’re dealing with a puncture wound, you probably took a trip to your local emergency room for care. Even if you’ve done this, you should still follow up with a podiatrist to make sure the wound is properly cared for and tended to.
 
Dealing with a puncture wound? Here are the steps you should take,
  • Seek immediate medical attention (head to your local ER)
  • You may need a tetanus shot if it’s been more than 10 years since your last shot
  • Schedule an appointment with your podiatrist within 24 hours of the injury
  • Your podiatrist will provide you with a variety of care instructions to keep it clean and disinfected (make sure to follow all of these instructions)
When you come into the podiatrist’s office the first thing they will do is assess the wound and make sure it is properly cleaned. They will also make sure there is no debris remaining. To clean the wound, a numbing gel may be applied to the area first. Sometimes a round of antibiotics is prescribed to prevent an infection from developing. If your podiatrist suspects that you might still have a piece of an object in the wound or that there might be bone damage, imaging tests may need to be performed.
 
You must keep off the foot so that it can fully heal. If you’ve been prescribed antibiotics, make sure to take the medication until it is finished (if you stop taking it before the medication is finished it won’t be as effective). While your foot heals you must examine it daily and look for any signs of infection. These signs include,
  • Fever
  • New or worsening pain
  • Swelling
  • Redness
  • Drainage
  • Skin that’s warm to the touch
It’s important to turn to a podiatrist right away to treat your puncture wound to prevent complications. A foot and ankle specialist can provide you with instructions on how to properly care for your wound to ensure that it doesn’t get infected. Seek treatment right away.
By Michael Guerra, DPM
February 01, 2021
Category: Foot Care
Tags: Foot Care   Dry Feet  
At-Home Care for Dry FeetDry, flaky feet are incredibly common, particularly during the cold, winter months; however, if you find yourself dealing with dry or cracked feet throughout the year, especially around the heels, you may be wondering what you can do about it. Instead of just waiting until your feet become dry and flaky, your podiatrist can provide you with some easy skin care tips to keep your feet supple and free from dry skin all year long.
 
Wear Appropriate, Supportive Footwear

Certain shoes can leave you prone to cracked heels and dry skin due to friction from wearing loose-fitted shoes. People who wear sandals and other open-heeled shoes are more at risk for developing cracked heels. Instead, opt for closed-heeled shoes that fit properly and provide support.
 
Lose Excess Weight

If you are overweight, you may be surprised to discover that this could be contributing to your dry, cracked heels. This is because your feet take on all of your weight while standing, walking, and running. By safely dropping that excess weight through a healthy diet and regular exercise you can alleviate some of the pressure placed on your heels to reduce the risk of cracking.
 
Avoid Hot Showers

While we know just how luxurious it feels to stand in a steaming hot shower, especially during the winter months, this could be contributing to dry skin on your feet and cracked heels. If this is something you deal with regularly you may look at your current bathing or showering ritual to see if that could be the culprit. Simply use warm and not hot water, which can strip the skin of the oils it needs to stay moist.
 
Apply a Moisturizer

You should moisturize your feet every day to prevent dry skin from happening in the first place. Moisturizers that contain lactic acid, glycerin, or petroleum jelly can help to lock in moisture in your feet. Moisturize every time you get out of the shower and throughout the day, especially before going to bed. If you are prone to very dry, cracked feet, you may wish to moisturize and then wear socks to bed.
 
If these simple home measures don’t work, then you’ll want to consult your podiatrist to see if they can recommend a prescription-strength moisturizer or cream to reduce dryness and inflammation. Since dry, cracked feet can sometimes be a sign of an underlying health problem like diabetes, it’s a good idea to see your doctor if you’re dealing with this problem regularly.
 
While dry skin isn’t usually a concern for healthy individuals, if you have diabetes, you’ll need to be extra careful when it comes to treating even minor problems like dry, cracked, or flaky skin. To be on the safe side, it’s best to speak with a qualified podiatrist to find out how to treat cracked skin to prevent infection. Call your foot doctor today.
By Michael Guerra, DPM
January 04, 2021
Category: Foot Care
Tags: Blisters  
What To Do About BlistersEverything from wearing shoes that are a little too loose to increasing the number of miles you run can leave you dealing with painful blisters on your feet. Blisters can be quite a nuisance, making it difficult to move around, especially when wearing shoes. If you deal with blisters rather regularly here are some simple ways to treat the problem.
 
Keep the Blister Intact

If possible, try to keep the blister intact. Do not try to pop or drain a blister that hasn’t popped on its own. It’s important not to put pressure on the blister, so avoid any shoes that may be too tight. If you’re going to put on shoes, make sure to apply a bandage (some band-aids are designed specifically for covering blisters) to the area first.
 
Keep Popped Blisters Clean

If the blister popped on its own, clean it with warm water soap (do not use alcohol or hydrogen peroxide on the blister). Once the area is clean, apply an over-the-counter antibiotic cream to the area and apply a bandage over the blister. These simple steps can prevent an infection from occurring.
 
Drain the Blister Yourself

You should only drain a blister if it’s very large, painful, or affects your ability to move. In this case, you should sterilize a needle with alcohol and then make a small hole in the blister to let it drain. You may need to carefully squeeze the blister to help it drain fully. Once the blister has drained, rinse out the area with soap and warm water before applying antibiotic cream to the area and placing a bandage over it.
 
Replace Bandages Daily

You mustn’t keep the same bandage on your blister day in and day out. You should check the blister every day to make sure it isn’t infected. You should clean the area daily with soap and water and then reapply another bandage.
 
Of course, if you have diabetes or nerve damage in your feet, you mustn't try to drain or treat the blister yourself. Even something as small as a blister could become infected or lead to serious complications. You should see your podiatrist right away for any blisters that develop on your feet.
 
If you develop signs of infection such as pus, increased redness, or swelling of the blister, you must see your podiatrist right away for treatment. While blisters aren’t usually a cause for concern in most healthy individuals, it’s also important that you practice good foot care to prevent blisters from happening.
By Michael Guerra, DPM
December 30, 2020
Category: Foot Care
Tags: Bunions  

Here are some simple, nonsurgical ways to get bunion pain under control.
 

Take a look at your family’s feet. If they are dealing with bunions, then chances are good that this is a problem you’re going to deal with. While bunions can be the result of traumatic injuries to the foot, structural foot defects and genetics can also play a significant role in the development of bunions. Of course, there are certain habits that our Burlington, VT, podiatrist Dr. Michael Guerra may recommend practicing now to prevent newly formed bunions from getting worse.
 

We’ll Try Conservative Treatments First

You’ll be relieved to know that most people won’t need to undergo surgery to treat their bunions. While surgery is the only way to get rid of a bunion, in most instances our Burlington, VT podiatrist can help patients control their bunion-related pain and swelling through simple lifestyle modifications and home care including,
 

  • Icing the bunion for 10-15 minutes at a time, 2-3 times a day
  • Taking anti-inflammatory medication to ease painful flare-ups
  • Applying non-medicated padding to the bunion to prevent shoes from rubbing against the skin, which can cause a callus to form
  • Turning to our podiatry team to craft custom orthotics, or shoe inserts, which can take the pressure off the bunion and provide cushioning and support for the foot structure when standing, walking, or running
  • Practicing foot and toe stretching and strengthening exercises to strengthen the muscles of the feet
  • Avoiding shoes with high heels (any heels above 2 inches), pointed toes, and worn-out or poorly fitted shoes (if shoes bunch up your toes, then it’s time to replace them)
  • Having your feet properly measured before getting new shoes
  • Wearing a bunion splint at night, which can reposition the big toe to alleviate morning aches and pains
     

What if Conservative Treatments Don’t Work?

If you find that despite all the changes you’ve made for the sake of your bunion that you still aren’t experiencing ample relief, then it’s definitely time to turn to our Burlington, VT, podiatry team to determine more aggressive treatment options. You may want to consider surgery if:

  • Your bunion is large
  • You have trouble finding shoes that properly fit because of the size of your bunion
  • Your bunion has caused your big toe to cross over your smaller toes
  • You deal with severe swelling and pain around the big toe joint
  • You have trouble walking or participating in certain activities because of your bunion
     

If you are dealing with bunion pain or noticing changes in the shape of your feet our Burlington, VT, podiatrists can help. We offer a variety of non-surgical and surgical treatment options for addressing bunions of all severities. To schedule a consultation with our podiatry team, please call Burlington Podiatry at (802) 862-8666.





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