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Dr. Kenneth Rosenthal
Dr. Jonathan C. O’Quinn
Dr. Michael J. Price

(252) 830-1000

Greenville, North Carolina
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Tuesday, 17 December 2024 00:00

Understanding Toenail Fungus

Toenail fungus is a common condition that causes thickened, discolored, and brittle nails. It typically begins as a white or yellow spot under the tip of the nail and can spread, making the nail appear distorted. The main cause of toenail fungus is fungi that thrive in warm, moist environments like sweaty socks, damp shoes, or public areas such as swimming pools or showers. Sharing personal items, like nail clippers or towels, can also increase the risk of infection. Treatment for toenail fungus often includes antifungal medications, either topical or oral, to clear the infection. In some cases, a podiatrist may recommend laser treatment or, in severe instances, partial removal of the affected nail. Because toenail fungus can be persistent and difficult to treat on your own, visiting a podiatrist ensures proper diagnosis and effective treatment. If you are dealing with toenail fungus, it is suggested that you make an appointment with a podiatrist.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

  • Warped or oddly shaped nails
  • Yellowish nails
  • Loose/separated nail
  • Buildup of bits and pieces of nail fragments under the nail
  • Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

 

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Tuesday, 17 December 2024 00:00

How to Treat Your Toenail Fungus

While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.

There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.

Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.

While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.

Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.

Wednesday, 11 December 2024 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 10 December 2024 00:00

Where Gout Develops and What Tophi Are

Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints, leading to sudden and intense pain, redness, and swelling. It most commonly develops in the big toe, causing intense pain and discomfort. The accumulation of uric acid occurs when the body produces too much or fails to eliminate enough, resulting in the formation of sharp crystals that deposit in the joints. Over time, if gout is left untreated, it can lead to the formation of tophi, which are lumps or deposits of uric acid crystals under the skin. Tophi can appear around joints and can cause permanent damage to the affected areas if not properly managed. Prompt treatment and lifestyle changes can help manage gout and prevent the development of tophi. If you have developed gout, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

Read more about Everything You Need to Know About Gout
Tuesday, 10 December 2024 00:00

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

Tuesday, 03 December 2024 00:00

Causes and Safe Treatment of Foot Blisters

Blisters on the feet occur when fluid accumulates between layers of skin, often as a response to friction or pressure. Repeated rubbing from poorly fitting shoes or intense activity can irritate the skin, leading to the formation of these protective fluid-filled sacs. Blisters on the feet may also arise from burns, extreme cold, or medical conditions like eczema or diabetic neuropathy. Depending on the cause, blisters can be painfu, making walking difficult. It is not recommended to pop blisters yourself as this may lead to infection, which may require medical attention. A podiatrist can safely assess and treat foot blisters, especially those that are recurring or linked to underlying health issues. This foot doctor can drain the blister under sterile conditions, recommend footwear modifications, and address infections as needed. Professional care also reduces the risk of complications, such as worsening pain or more serious infections. If you have a problematic foot blister, it is suggested that you schedule an appointment with a podiatrist for safe treatment.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

Read more about Blisters
Tuesday, 03 December 2024 00:00

Blisters

Blisters are pockets of fluid that occur under the top layer of your skin. These fluid pockets are usually filled with pus, blood, or serum. Blisters may itch or hurt and can appear as a single bubble or in clusters.

The most common types of blisters are friction blisters. This type of blister may be caused by wearing shoes that are too tight. Friction blisters can also occur on the hands. A change in temperature may also cause blisters on the feet. In the freezing air, frostbite on your toes can lead to blisters, as well as sunburn from hot weather.

The best way to treat a blister is to keep it clean and dry. Most blisters will get better on their own. Once the skin absorbs the fluid within the blister, it will flatten and eventually peel off. You should avoid popping your blister unless you podiatrist does it for you. Additional treatment options include applying an ice pack to the blister or using over-the-counter blister bandages to cover the affected area.

If your blister becomes discolored, inflamed, or worsens it is advised that you speak to your podiatrist. Blisters that are yellow, green, or purple may be infected and require immediate medical attention. Blisters that are abnormally colored may be a sign of a more serious underlying health condition such as herpes.

Tuesday, 26 November 2024 00:00

Foot Symptoms and Complications of PAD

Peripheral artery disease, or PAD, is a serious condition where narrowed arteries limit blood flow to the limbs, and especially affects the feet. People with peripheral artery disease may experience a persistent cold sensation in their feet, even in warm environments, due to restricted blood circulation. Tingling, numbness, or loss of sensation, especially in the toes, can signal nerve strain caused by reduced oxygen supply. Additionally, skin on the feet may turn pale or develop a bluish tint as circulation diminishes. Peripheral artery disease can also slow toenail growth, leading to thicker, brittle nails that may appear discolored. In advanced cases, patients with PAD might develop painful sores or ulcers on the feet that are slow to heal, increasing the risk of infection and severe complications. A podiatrist can identify signs of peripheral artery disease and help patients manage foot health. If you have foot pain that derives from circulatory issues, it is suggested that you make an appointment with a podiatrist for appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Read more about Peripheral Artery Disease
Tuesday, 26 November 2024 00:00

Peripheral Artery Disease

Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.

Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.

Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.

If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.

Tuesday, 19 November 2024 00:00

All About Corns on the Feet

Corns are dense patches of hardened skin that develop on the feet, often as a response to pressure and friction. Corns commonly form on the top or sides of toes or the outer edge of the foot, typically where footwear consistently rubs. High heels, wearing tight or poorly fitted shoes, and even walking without socks can contribute to corn formation by creating repeated friction. Corns are distinct from calluses due to their smaller, deeper size and hard core surrounded by inflamed skin, which can be painful when pressure is applied. Symptoms of corns include a rough, raised bump, tender skin, and occasional flakiness. A podiatrist can diagnose a corn through visual examination, ensuring that other conditions like cysts or warts are ruled out. Professional treatment includes carefully trimming the thickened skin, applying medicated patches, and possibly prescribing custom orthotics to prevent recurrence. If you have developed a painful corn, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

If you have any concerns regarding your feet and ankles, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors 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 doctors 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 Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Corns and Calluses
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