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Dr. Spriro is a Participating Provider with the Beth Israel Lahey Physicians Organization

March 2022

Tuesday, 29 March 2022 00:00

When Is Toenail Surger​​y an Option?

Many rheumatoid arthritis sufferers find that ingrown toenails have become an ongoing problem. An ingrown toenail occurs when the outer edge of the nail gets embedded in the surrounding skin. This can cause pain, swelling, and possibly an infection. If this happens regularly, surgery to remove the nail may be an option to consider. If you still have a good blood supply to the feet and toes, and if you are not currently having a rheumatoid flare-up, removal of the toenail is a viable option. Surgery, which can be carried out by a podiatrist, is a long-term solution. But it’s important to remember that because of rheumatoid arthritis the healing process may be slow. Other options can include changing your footwear to a larger size and seeing a podiatrist to set up a series of regular foot-care appointments as a preventative measure. 

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Jordana Szpiro, DPM, FACFAS of Boston Common Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenails

As women gain weight during pregnancy, it is common for their legs and feet to begin swelling and aching. This is mainly a side-effect of the normal buildup of fluids in the body as the baby grows. Further, the center of gravity changes as the months go by, affecting the legs and feet and the way she walks and stands. Proper footwear is essential to help reduce discomfort or the chance of accidents or serious illness. Suggestions for changes in footwear during pregnancy include buying shoes at least a half size larger than normal, choosing shoes with high arch and ankle support, and wearing slip-ons rather than shoes that tie. Further, high heels should be avoided as much as possible, to reduce the chance of falling or twisting an ankle. Low and wider heels help distribute body weight better, and shoes with a wider toe box are a good idea for improved stability and comfort. If you have questions about foot health during pregnancy, it is wise to consult a podiatrist who can guide you in making the proper footwear decisions.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Jordana Szpiro, DPM, FACFAS from Boston Common Podiatry. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Pregnancy and Foot Health

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 15 March 2022 00:00

Corns Can Be In Two Places on the Foot

Pain can often accompany a corn on the foot. A hard corn is defined as a small, toughened area that develops on top of the toes. It generally forms due to wearing shoes that do not fit correctly. The shoes may be too tight, and this can cause friction as the toes rub against the top of the shoes. A soft corn forms between the toes and is generally moist a majority of the time. Mild relief may be found when a protective covering is worn on top of the corn, or in between the toes. This can help to cushion and protect the corn as daily activities are completed. It is suggested to refrain from wearing high heels with an existing corn, in addition to limiting the amount of walking. If you have developed a corn, please speak to a podiatrist who can recommend proper removal techniques.

If you have any concerns regarding your feet and ankles, contact Jordana Szpiro, DPM, FACFAS of Boston Common Podiatry. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Everything You Need to Know About Corns

If you drop something on your foot, it will likely turn purple or blue from bruising. This is normal, and the common solutions of rest, ice, elevation, and compression should help ease the pain as your foot heals. However, chronic discoloration of the feet can be a sign of restricted blood flow brought on by other conditions. Among them are diabetic neuropathy, peripheral artery disease (PAD), lupus, or Raynaud’s disease. In some way all of these conditions limit the flow of blood to the extremities and can cause foot swelling, discoloration and numbness. If you notice that your feet have changed color for longer periods, it may be wise to consult a podiatrist who can offer a complete examination and diagnosis of your feet and recommend the best treatment options for you.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Jordana Szpiro, DPM, FACFAS from Boston Common Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Everyday Foot Care
Tuesday, 01 March 2022 00:00

What Is a Navicular Stress Fracture?

One of the foot’s 26 bones is called the navicular bone, which sits just in front of the ankle on the top of your foot. A stress fracture of the navicular bone is commonly the result of explosive and repetitive action of the feet, especially during running fast or jumping. During activity, the navicular bone may be squeezed between the two bones in front of and in back of it, causing stress. Symptoms of a navicular stress fracture are an ache in the midfoot area, including the inside of the arch, and pain if you press on the bone. This discomfort may subside once activity is stopped and the foot rests, but is likely to recur when the action starts again. If you have pain when flexing your foot upward, you may have a navicular fracture. A visit to a podiatrist for diagnostic imaging tests is a good idea. Treatment options, depending on the severity of the injury, include a walking splint, a full cast, or surgery. 

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Jordana Szpiro, DPM, FACFAS from Boston Common Podiatry. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Stress Fractures of the Foot and Ankle
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