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Mar202014

Bunion Symptoms | Bunion Center of the Lehigh Valley in Allentown, Bethlehem, and Easton, PA




Bunion Symptoms | Bunion Center of the Lehigh Valley in Allentown, Bethlehem, and Easton, PA
no bunion mans foot lehigh valley allentown
Left foot, no bunion

How do I know if I have a bunion?
On a foot with no bunion, the big toe points straight ahead. You should be able to draw a straight line from your heel to your big toe, as in the picture at left. The inside of the foot is relatively smooth and straight.

If you see a bump - an outgrowth - on the side of your foot just below the joint of the big toe, it may be a bunion. It's usually pretty small when you discover it, but eventually this bump will enlarge, forcing the big toe towards the smaller toes. As the bump enlarges, you'll experience pain in that area and the skin over the bump will become swollen or irritated from the pressure of your shoes. You may even see marks or slight bulges on the side of your shoes as the bunion wears through.

Aside from aesthetic issues, this joint below your big toe is one of the most important parts of your foot, as it bears the majority of your body weight. When it's painful and not functioning correctly, you tend to shift your body weight onto the other metatarsals of that foot, introducing a host of other problems. That's why bunions are frequently accompanied by crossover toes, hammer toes, corns, calluses, and ingrown toenails. Additionally, as pain in the bunion increases, activity is reduced and a sedentary lifestyle sets in, leading to a lower quality of life.
bunion man's foot allentown
Right foot with bunion

Bunion symptoms may include
A bump at the base of your big toe
Swelling, soreness, and/or redness around the skin of the joint
Pain around the area of the joint
Difficulty moving your big toe
Corns or calluses where the 1st and 2nd toes overlap
Pain when walking, created by your shoe rubbing on the protruding area
Big toe pointing towards adjacent toes

Next: Bunion Treatment Options




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Mar202014

Tinea (Ringworm, Jock Itch, Athlete's Foot)




Tinea (Ringworm, Jock Itch, Athlete's Foot)

If your kids are active, locker-room showers and heaps of sweaty clothes probably are part of their everyday lives -- and so is the risk of getting fungal skin infections.

Jock itch, athlete's foot, and ringworm are all types of fungal skin infections known collectively as tinea. They're caused by fungi called dermatophytes that live on skin, hair, and nails and thrive in warm, moist areas.

Symptoms of these infections can vary depending on where they appear on the body. The source of the fungus might be soil, an animal (most often a cat, dog, or rodent), or in most cases, another person. Minor trauma to the skin (such as scratches) and poor skin hygiene increase the potential for infection.

It's important to teach kids to take precautions to prevent fungal skin infections, which can be itchy and uncomfortable. If they do get one, most can be treated with over-the-counter medication, though some might require treatment by a doctor.
Ringworm
Ringworm isn't a worm, but a fungal infection of the scalp or skin that got its name from the ring or series of rings that it can produce.

Symptoms of Ringworm
Ringworm of the scalp may start as a small sore that resembles a pimple before becoming patchy, flaky, or scaly. These flakes may be confused with dandruff. It can cause some hair to fall out or break into stubbles. It can also cause the scalp to become swollen, tender, and red.

Sometimes, there may be a swollen, inflamed mass known as a kerion, which oozes fluid. These symptoms can be confused with impetigo or cellulitis. The distinctive features of ringworm are itching, redness on the skin, and a circular patchy lesion that spreads along its borders and clears at the center.

Ringworm of the nails may affect one or more nails on the hands or feet. The nails may become thick, white or yellowish, and brittle.

If you suspect that your child has ringworm, call your doctor.

Treating Ringworm
Ringworm is fairly easy to diagnose and treat. Most of the time, the doctor can diagnose it by looking at it or by scraping off a small sample of the flaky infected skin to test for the fungus. The doctor may recommend an antifungal ointment for ringworm of the skin or an oral medication for ringworm of the scalp and nails.

Preventing Ringworm
A child usually gets ringworm from another infected person, so it's important to encourage kids to avoid sharing combs, brushes, pillows, and hats with others.




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Mar182014

Bunion (Hallux Valgus) | Ball | Conditions | FootSourceMD




Bunion (Hallux Valgus) | Ball | Conditions | FootSourceMD

What looks like just a bump on your toe is actually throwing your bones out of alignment.
Bunions are a typical condition of the big toe. That visible bump is caused by a change in the bones in the front part of your foot.

Bunions are a progressive disorder. Your big toe begins to "lean," gradually changing the angle of the bones and slowly producing the characteristic bump, which continues to become increasingly prominent. Usually the symptoms of bunions appear at later stages, although some people never have symptoms.

Symptoms, like pain and inflammation, occur most often when wearing shoes that crowd the toes - shoes with a tight toe box or high heels. This may explain why women are more likely to have symptoms than men. Spending long periods of time on your feet can also aggravate the symptoms of bunions.

Treating your Bunion
Early treatment options for bunions are aimed at easing pain, but won't reverse the deformity itself.
Changes in footwear. Choose shoes with plenty of room for your toes and avoid shoes with pointed toes or high heels.
Padding. Pads placed over the area of the bunion can help minimize pain. You can get bunion pads from a drug store or supermarket.
Activity modifications. If an activity causes bunion pain, avoid it.
Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may help to relieve pain.
Icing. Applying an ice pack several times a day can help reduce inflammation and pain.
Injection therapy. Although rarely used in bunion treatment, injections of corticosteroids may be useful in treating the inflamed bursa (fluid-filled sac located in a joint) sometimes seen with bunions.
Orthotic devices. In some cases, custom orthotics or supportive inserts may providerelief.

Sometimes observation of the bunion is all that's needed. Periodic office evaluations and x-ray examination can determine if your bunion is advancing.
When the pain of a bunion interferes with daily activities, it's time to discuss surgical options. There are many different types of bunions and therefore many different types of surgery to fix them as well. Refer to our bunion FAQ if you have more questions about the condition.

Recent advances in surgical techniques have led to a very high success rate in treating bunions. With so many treatment options, you don't have to live with pain. Talk to your physician about your options.
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Mar182014

What is the Difference Between a Corn and a Bunion?




What is the Difference Between a Corn and a Bunion?

There are several differences between a corn and bunion.The most prominent of these is that a corn is essentially a skin related condition that may affect the nerves in the feet.A bunion conversely is a bone related condition that may ultimately irritate the skin.

A corn forms when skin on the top or bottom of the feet becomes callused.The callus can begin to push into the skin layers causing a sharp point that can jab at or irritate the nerves.This can cause pain when any pressure is exerted upon the corn.

Normal treatment for corn removal includes using a pumice stone to scrape off the corn.Some people also use corn pads, which help to "melt" the corn.However, people with diabetes should not undertake home treatment.They are greatly susceptible to foot infection and should have corns evaluated and treated by a physician.

A bunion occurs when one of the bones in the toes, normally the big toe, begins to grow in toward the other toes.This can be caused by wearing high-heeled, pointed shoes, but may also occur in people who wear relatively comfortable and roomy shoes.People with flat feet are more likely to develop bunions.Career ballet dancers may also be at greater risk from the unnatural position of the feet in toe shoes.Some medical research suggests this bone malformation may be in part genetically predetermined.




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Mar172014

Lumps On The Bottom Of The Foot | Arkansas Foot & Ankle Clinic




Lumps On The Bottom Of The Foot | Arkansas Foot & Ankle Clinic

Footworks column September 2011
By Alexandra Buk, DPM
Lumps On The Bottom Of The Foot

Arkansas Foot and Ankle Clinic welcomes you A few months ago we reviewed the most common mass found at the top of the foot: the ganglion cyst.Today we turn our attention to the bottom of the foot, where the two most common benign tumors found are plantar fibromas and rheumatoid nodules.

Plantar Fibromatosis

Plantar fascial fibromatosis, also known as Ledderhose's disease, is a non-malignant thickening of the foot's deep tissue layer known as the plantar fascia.In the beginning, when the nodules or cord just begin to grow, the disease is minor.Eventually the cords thicken and walking becomes painful.The disease is named after Dr Georg Ledderhose, a German surgeon who described the condition for the first time in 1894.A similar disease is Dupuytren's disease, which affects the hand and causes bent fingers.

As in most forms of fibromatosis, it is usually benign and its onset varies with each patient.The nodules are typically slow growing and most often found in the central and medial portions of the plantar fascia,, near the highest point of the arch.Occasionally, the nodules may lie dormant for months or years only to begin rapid and unexpected growth.The lump is usually painless and the only symptoms occur when the nodule rubs on the shoe or floor.The overlying skin is freely moveable, and usually there is no contracture or curling of the toes in the early stages.

The typical appearance of the plantar fibromatosis on MRI is a poorly defined, infiltrative mass in the tissue next to the muscles on the bottom of the foot.Only 25% of patients show symptoms on both feet.

The root causes of plantar fibromatosis are unknown, however it has been noted that it is an inherited disease, and there are certain risk factors.The disease is more commonly associated with:
A family history of the diseaseHigher incidence in malesPalmar fibromatosis,10-65% of the timeEpilepsy patientsPatients with diabetes
There is also a suspected link between incidence and alcoholism, smoking, liver disease, thyroid problems and stressful work involving the feet.



Although the origin of the disease is unknown, there is speculation that it is an aggressive healing response to small tears in the plantar fascia, almost as if the fascia over-repairs itself following an injury.In the early stages, when the nodule is single and smaller, it is recommended to avoid direct pressure on the nodule.Soft insoles, padding or a cut-out in the orthotic can help.

MRI and diagnostic ultrasound are effective in showing the extent, size and boundaries of the lesion.The imaging characteristics can also differentiate the fibroma from other soft tissue masses such as lipomas (fatty tumors) and hemangiomas (abnormal blood vessels), thereby assisting in the clinical diagnosis.

Surgical excision of plantar fibromatosis is difficult because tendons, nerves and muscles are located very closely to each other.Since the diseased area is not encapsulated, it is difficult to clinically determine the margins of the lesion, and portions of the diseased tissue may be left in the foot after surgery.The rate of recurrence is very high following excision of plantar fibroma.Because of this non-surgical treatment such as cortisone injection, cryotherapy and topical applications of steroid or other medications should be attempted initially.
Arkansas Foot Clinic entry
Rheumatoid Nodules

Aside from problems with small joints, the most common symptom of rheumatoid arthritis is the growth of rheumatoid nodules.About 25% of people with Rheumatoid arthritis (RA) will develop skin nodules which range in size from a pea to a mothball.They are more common in men than women, and Caucasians are more likely than other ethnicities to develop them.They are also widespread in people who test positive for rheumatoid factor, but relatively rare in those who test negative for it.(Rheumatoid factor is an antibody linked to inflammation in the body.)

The little knots of tissue are made up of inflammatory tissue.They are common in the skin but may also turn up in the lungs, heart and tendons.They usually form in areas of the body that feel pressure, such as the elbows, fingers heels and balls of the feet.Nodules are more commonly found after RA has been present for some time.They may feel firm and rubbery or soft and squishy.

Since nodules don't generally cause any problems, they usually don't need to be treated.However, if on the feet shoes can rub them and if on the bottom walking can become painful.In addition, the skin overlying the nodules can break down, which can lead to an open sore or infection..

Often disease-modifying anti-rheumatic drugs will help shrink down the nodules, however your podiatrist can inject it with medication to speed up the process.Surgical removal of the lesion may be required if the mass is causing nerve pain, an open sore or range of motion issues.

Send any questions to Dr Buk at The Arkansas Foot and Ankle Clinic.

Arkansas Foot and Ankle Clinic 3

Related Topics: bottom of the foot o fibromatosis o foot surgery o ledderhose's disease o plantar fibromatosis o rheumatoid arthritis o soft tissue tumors o tumor

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