Nicholas Campitelli, DPM | Akron Podiatrist | Foot and Ankle Surgeon

The Foot Doc Blog – Leading Blog on foot and ankle pain

Providing information on foot, toes, and ankle pain or deformities. Questions? Please ask them in the comments section below. Check out our Youtube and Instagram sites as well.

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With winter’s arrival, many of us will begin seeing patients with weather-related injuries present to our offices. One of the most common conditions tends to be Raynaud's disease. It is important to distinguish between Raynaud’s disease and Raynaud’s phenomenon as they are two clinically different presentations that are characterized by the severity of the symptoms. Raynaud's disease is the milder of the two conditions as it presents with vasospasm alone and has no association with other systemic diseases.



Have a big lump on your toe and not sure what it is?  Most likely it’s a plantar’s wart or ganglion cyst.  Here’s a few examples of ganglion cysts which presented recently to my office.  Ganglions cysts are soft and filled with thick viscous fluid.  If you were to rupture one of these cysts, they ill express a fluid that is thick and sticky like.  To you it may feel firm or even “bony” but if you were to squeeze it firmly, you will notice it is fluid filled.   Most ganglion cysts can be drained or aspirated in the office for initial treatment, but they have a high reoccurrence rate requiring excision.  See the following examples which required excision.

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Small Ganglion cyst which required surgical excision.

 

 

 

 

 

 

 

 

 

 


The following example is a larger cyst that was extending from the joint of the great toe.

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Sac of the cyst after the fluid was expressed from it.
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Larger ganglion cyst extending into the joint of the great toe.
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Sac of the cyst measuring 4 cm.
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Closure with sutures.

 


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It's common to hear patients tell me they have foot pain because they have  a flat foot.  An overwhelming majority of the patients who tell me this actually don't have a flat foot at all.  They have a normal arch.  Some of them may have a variant of a foot type which makes them a appear to have a fallen arch, but it's not what we would refer to as a pathologic flat foot.


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What's a minimalist shoe?  It's lightweight,flexible and offers not support. More importantly, it will allow your foot to become stronger the more you wear it and ultimately help in preventing injury. Read this new study which demonstrates how the foot becomes stronger by wearing a minimalist shoe.


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You don’t always get what you pay for when it comes to running shoes.  Yes, you may get higher quality material and shoes that may last longer, but the extra money won’t necessarily fix your injury.  I routinely explain to my patients that “good” shoes aren’t  always dictated by how much you pay for them.  As an example, Dansko makes an expense clog that is very popular amongst nurses and surgeons in the operating room.  The problem is they’re not good for your feet. They’re heavy, rigid, unforgiving, and have a heel that places the foot in an inclined position which is anatomically incorrect.  Simply put- they don’t belong on our feet.  I often tell my patients (non runners as well), if you wouldn’t  run in this shoe,  you shouldn’t be wearing it. 


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Chances are that your working boots have embarrassed you with a thick, cheese-like smell.
Some describe the smell like that of malt vinegar or distinctive putrid smell that has a sulfuric aroma that slaps every ones face within a forty meters radius causing relationship break-ups, family quarrels and awkward situations that may leave you embarrassed or lower your self-esteem.


9318 ST RT 43, Streetsboro, OH

2660 West Market Street, Fairlawn, OH

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