Jeffrey Conforti, D.P.M.
2 Sears Dr., Suite 201
Paramus, NJ 07652

201-986-1900

 

Morton's Neuroma

Morton's Neuroma also called Intermetatarsal Neuroma or Plantar Neuroma is a condition that affects the nerves of the feet, usually the area between the third and fourth toe. Neuroma refers to a benign growth that can occur in different parts of the body. Morton's Neuroma strictly affects the feet. This condition causes the tissue around the nerves that lead to the toes to become thick, causing pain in the ball of the foot.

This condition can be caused by injury, pressure or irritation. Normally no lump will be felt, but instead burning pain in the ball of the foot that will often be sensationalized in the toes will be experienced. Numbness and tingling may also occur. With the onset of this condition, a person may feel pain when tight or narrow shoes are worn. As the condition worsens, the pain may persist for days, or even weeks.

Persistent foot pain should always be a concern. The foot should be examined by a podiatrist if pain persists longer than a few days with no relief from changing shoes, or relieving stress from the foot. The earlier the foot is examined and treated, the less chance there will be for needing surgical treatment.

There are some factors that can play a role in the development of Morton's Neuroma. These include wearing ill fitting shoes that cause pressure to the toes, such as high-heels. Also, high impact exercise may contribute to the cause of this condition. Morton’s Neuroma may also develop if the foot sustains an injury. Another cause includes walking abnormally due to bunions or flat feet, which causes excessive pressure and irritates the tissue. At times, people are affected for no apparent reason.

Podiatrists can alleviate the effects of this condition using a treatment plan to help decrease the pain, and heal the foot tissue. Depending upon the severity of the Morton's Neuroma, the treatment plan can vary. For cases that are mild to moderate, treatments may include applying padding to the arch to relieve pressure from the nerve and reduce compression while walking. Ice packs can also help reduce swelling, and the podiatrist may devise a custom orthotic device to support the foot and reduce compression and pressure on the affected nerve. The doctor will probably advise against partaking in activities that cause constant pressure on the affected area, and may provide wider shoes to ease the pressure from the toes. If these treatments do not relieve the symptoms of this condition, the doctor may use injection therapy.

Surgical treatment may be recommended by the podiatrist if all other treatments fail to provide relief. Normally, the podiatric surgeon will decide on either a surgical procedure that involves removal of the affected nerve or will choose surgery to release the nerve. After examination, the surgeon will decide on the best approach to treat the problem.

Recovery varies according to the type of surgical procedure. The patient will also be instructed on the best shoe wear to prevent the return of this condition, along with changes to workout routines, if this was the cause. Preventative measures are important so the condition does not return.

 

Ingrown Toenail Care

An ingrown toenail is caused when a toenail grows sideways into the bed of the nail, causing pain and swelling. Sometimes this can become infected causing drainage and may become serious.

There are many risk factors that can predispose a person to this common condition. Cutting your nails too short, participating in sports, diabetes, being overweight, or having a fungal infection of the toe can all cause ingrown toe nails. Many people are genetically prone to ingrown nails and it can often be related to genetics. Often the problem can come from wearing ill-fitting shoes, or even from shoes that keep the feet slightly damp.

There are some things that you can do to prevent and treat these painful problems. Letting your toe nails grow a little longer will help prevent this condition. If you do develop an ingrown nail, soaking the toe in hot water will help prevent infection and lessen pain. You may want to add antibiotic soap or Epsom salts to the water. This will help to prevent infection.

Some experts also recommend placing small pieces of cotton under the affected part. This will help the toenail to grow up instead into in your nail bed. Resting with your feet up can reduce swelling and redness.

If your pain is so severe that it keeps you from everyday activities, it is time to see your podiatrist. Also, if you see a red streak running up your leg, or if your infection is spreading, see a podiatrist immediately. There are many quick treatments that can lessen your pain and have you walking with comfort.

One method of treating an ingrown toenail involves using a Band-Aid. Wrapping the affected toe with a Band-Aid will prevent infection and also keep the nail from growing out at painful angles.

If your podiatrist feels it is necessary, he or she may make a small incision and remove part of your toe nail. Medication will be placed in the nail bed to prevent re-growth of the problem nail parts. This will be done under local anesthesia and should lessen your discomfort in no time. You will be advised to stay off your foot for a day or so, but can then carry on normal activities.

Take care of your feet; you have many steps to take in your life. Walking in comfort should be a priority for a lifetime of healthy living.



Fitting Shoes for Infants

Growing feet are important part of your baby's development. Fitting your infant with the proper shoe size affects their comfort level as well as how the foot grows.

At birth, to keep the newborn's foot warm, uses socks or soft shoes. The newborn's foot is fragile and soft and it's important not to have anything on the baby's foot that will put weight on it or constrict it. Because at this stage babies are unable to express themselves, an uncomfortable shoe many cause the newborn to cry uncontrollably. On average, a baby between 0 and 6 months wears a 00-6M shoe. At this age, the baby booties come in a variety of colors to match their layette or outfit. This shoe type is called a crib shoe.

As the baby grows and starts to move around more, the shoe type the baby will change with their changing developmental stage and physical activity level. Crawling shoes are for babies who are moving around but are not walking independently. This shoe type is typically available between 6M and 9M. All shoes stores selling baby and children shoes have associates to measure the baby's foot so that you can get a proper fitting shoe. Specialty stores that sell just infant and children shoes will have equipment used just for children. Because the equipment is just for babies and children, the baby will have a more detailed fitting. Depending on the width of the baby's foot, the foot may range between a regular fit, a narrow fit or a wide width fit. For wide width shoes, a W is indicated next to the infant shoe size.

Babies’ feet perspire more. Shoes made of breathable materials will allow air to easily flow between the babies’ foot and the shoes. Due to their rapid growth, it's important to measure the baby's shoe size every month and allow extra room for growth in each fitting.

Once the baby starts standing and walking the type of shoe the baby wears is extremely important. The shoe should never need breaking in. It should be flexible, comfortable and support the ankles as well as the feet. Infants between 6 and 12 months need this shoe type. The shoes should never be tight and should have soft soles. Harder sole shoes are for infants who have mastered walking and walking outside. Although the shoe is harder it should still be flexible and comfortable while providing support for the feet. This shoe ranges from 9M to 18M.


How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. Several common injuries can occur due to running. When the back of the kneecap starts wearing away and starts causing pain in the knee, this is commonly referred to as runner’s knee. Runner’s knee can occur because of decreased strength in the quadricep muscles or shoes that do not offer proper support to the inside of the forefoot. Runner’s knee usually is treated with strengthening exercises focusing on the quad muscle and sports orthotic. To prevent runner’s knee, efforts should be focused on hip strengthening. Physical therapy is also beneficial in helping to learn the best exercises to heal runner’s knee. To prevent runner’s knee, strengthen the quad muscles to keep the kneecap aligned.

Overtraining is one cause of a common running injury called iliotibial band syndrome, which occurs when the iliotibial band gets irritated, causing pain and discomfort to the outside knee area. Another common running injury is known as plantar fasciitis, which occurs when the bone in the foot becomes inflamed and irritated. This injury primarily causes pain in the foot. Causes can include a high arch, incorrect footwear, tight muscles and flat feet. The best way to avoid plantar fasciitis is stretching and proper footwear.

Stress fractures are a common injury for runners. These fractures can occur because of overtraining, lack of calcium or running style. In runners, it is common for stress fractures to occur in several locations including the inner bone of the leg, the thighbone, the bone at the base of the spine and the toe bones in the foot. The best approach to preventing stress fractures are proper footwear maintenance and running on a surface with enough “give” to absorb some of the shock produced during running.

Besides overtraining, other causes of these common running injuries are poorly fitting footwear, irregular biomechanics, and lack of flexibility and strength. The best way to avoid running injuries is to prevent them. Fortunately, each of these common running injuries can be prevented. To avoid running injuries it is highly recommended to wear only footwear that fits properly and that suits your needs. Running shoes are the only protective gear that runners have to safeguard them from injury; therefore, choosing the correct footwear for running is important. It is important, too, to think about other aspects of your running routine like training schedules, flexibility and strengthening, and tailor them to your needs in order to minimize the possibility of injury. Regular stretching before and after running should be considered also when trying to avoid running injuries. Stretching keeps muscles limber resulting in greater flexibility.



Getting Back into Sports after Foot and Ankle Injuries

One of the most common injuries that athletes suffer from is a sprained ankle, a very painful and frustrating problem. A sprained ankle usually causes one to avoid participating in sports, and once someone has sprained their ankle, they are very likely to sprain it again.

To get back into sports after a sprained ankle, one should follow the RICE method, which is consistently recommended by physical therapists and sports medicine doctors. The RICE method involves rest, ice, compression, and elevation. If one follows the RICE method soon after experiencing a sprained ankle, he or she will likely get back to the playing fields in no time. In addition to using the RICE method, an athlete should wear an ankle brace after experiencing a sprained ankle to help alleviate the pain and keep the ankle safe until it heels. A brace will also help to stabilize the ankle, and prevent serious injuries in the future. Many times, people suffer from sprained ankles due to weak ligaments near the ankle; because an ankle brace keeps the ligaments in the foot from moving too much, it will help someone avoid this injury.

Fractures in the foot and ankle are another common type of injury athletes suffer. Stress fractures typically occur in the bones of the forefoot. An athlete will usually experience stress fractures if he or she partakes in a sudden increase in athletic training. A stress fracture can be either stable or displaced. A stable stress fracture involves no shift in bone alignment, while a displaced stress fracture involves bone ends that no longer line up.

After an athlete has a stress fracture in the foot, he or she will immediately need to see a doctor. Rest is usually the key to treat this problem. One will have to refrain from any strenuous activities or the sports that caused the injury. A doctor or specialist may be able to pinpoint the specific part of an athlete's training that caused the stress fracture. If this is possible, then an athlete will not have to worry about refraining from his or her sport in the future; he or she will simply have to stop training in such a way that an ankle or foot injury results.

The key for any athlete is to care about the treatment process for an ankle or foot injury. Athletes need to rest and take time before hitting the fields. The more an athlete invests in the treatment and recovery process, the more likely he or she will be able to return back to normal athletic performance.


2014
February - March - April - May

Foot & Ankle Medical & Surgical Care
                                                 
Paramus, NJ Location
2 Sears Drive
Paramus, NJ 07652
201-986-1900
 
 
Affiliated With
Hackensack University Medical Center
The Valley Hospital
Board Certified, American Board of Foot & Ankle Surgery
Board Certified, American Board of Podiatric Orthopedics
 

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