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.
Subungual hematomas frequently occur in distance runners and I tend to see a lot of them in my practice. While it can be a controversial topic in regard to either draining or removing the entire nail, I learned early in my career that it is best to remove the entire nail.
Read one of my posts on Dr. Nicks Running Blog that gives a detailed approach on the benefits of removing a painful toenail to relieve the pressure from bleeding.
The following article, or blog post, is a great read for any runner who has been suffering Achilles tendinitis. I see this scenario played out over and over in my office. It’s training patterns that lead to the problem. Too many speed workouts. Running easy runs too hard. Running your long runs at race pace. […]
Source: Training errors and achilles pain – Dr. Nick’s Running Blog
There are two possible solutions for you to fix your ingrown toenail. If this is the first time you are experiencing an ingrown toenail, then a nail avulsion would be indicated. This is a surgical procedure performed in the office where the ingrown border of the nail plate is surgically excised. Antibiotics are typically not needed and the condition resolves by simply removing the ingrown nail border. The recovery period is usually 7-10 days and heavy activity such as running can be performed within 24-48 hours.
CAUTION: THE FOLLOWING VIDEO CONTAINS REAL SURGICAL FOOTAGE
For recurrent cases of ingrown toenails, a permanent procedure is typically chosen. This involves the same technique as a nail avulsion, but a chemical is introduced into the nail groove and the nail matrix (cells that form the nail) is ablated to prevent the border of the nail from growing back. The recovery period is slightly extended for this procedure as drainage usually occurs for 14 days. Regular activity, as well as exercise, can again take place in 24-48 hours.
Questions? Post in the comments section below!
Taking a new medication and you suddenly developed a rash? It may be an allergic reaction to the medication. This is not too common, but common enough that it presents to my office.
Here are several examples of the classic eruptions to the skin from a drug allergy.
Patients routinely present to the office with a painful second toe (especially on the bottom of the joint) not realizing the cause of the pain or deformity. The toe is typically resting higher then the others and the patients complain that the toe is starting to “pop” up in the air.
Below is an example of a bunion correction and relocation of the 2nd toe that is 6 weeks post surgery. She was back to work and in a regular shoe at this point functioning well with no pain.
Bunion surgery is sometimes a feared procedure which many times end up a with a great result and reduction in pain for the patient. Sometimes the deformity can reoccur which may require a secondary procedure. Here are some examples of what can be done to correct a bunion that has reoccured.
It is very common for patients to present with a discoloration of a toenail and are concerned about a melonoma. The above picture is an example of a patient who presented to me with discoloration to the right great toenail as a resulted of concern by the family doctor.
Nope, it’s not nail polish. This Is what happens when you soak your feet in potassium chloride. Well, a solution of it that is. This patient was attempting to use an old remedy to resolve a chronic foot pain by soaking his foot in a solution of potassium chloride and water. He temporarily stained his toenails as you can see. Although the acid has left a black discoloration, it is only temporary and will grow out.
Afraid of having your painful bunion fixed because you’ve heard the recover is very long? This is not always the case. The outcome varies depending on the severity of the bunion which also correlates with how long it has been present.
Procedure section typically will vary upon the severity of the deformity as well as a patient’s age.
Here’s an example of bunion surgery performed on a 55 year old female who had a mild/moderate bunion which required a simple procedure involving realigning the joint. She was allowed to bear weight immediately post operatively and used crutches as needed. At three weeks progression moves from a surgical shoe/cam walker to a running shoe. After 6-8 weeks patient will be allowed to begin exercising and more rigorous activity.
Here’s a 65 year old male who presented with a chronic painful left ankle that he described as occasionally “giving out”.
Radiographs revealed an abnormally large fragment of bone (os trigonum) to the back of his ankle joint.
An MRI was performed as I was suspicious of a ruptured peroneal tendon. The MRI revealed no damage.
April 1, 2021
April 1, 2021
August 8, 2020
August 6, 2020
August 2, 2020
August 1, 2020
