My Blog

By Paoli and Center City FootCare Centers
June 21, 2019
Category: Foot Care
Tags: Bunions  

Don’t let bunion pain dictate how you live your life. Find out how to get your symptoms under control.

Are you noticing swelling or pain at the base of your big toe? Is there a hard, bony mass present? If you said “yes,” then you could very well be dealing with a bunion. Although many people will develop bunions over time and not necessarily suffer from any negative effects, if you are experiencing pain or other symptoms from this deformity, it’s a good time to visit one of our offices in either Philadelphia or Paoli, BunionPA, to find out what’s going on.

You have a bunion. Now what?

If you already know that you have a bunion, you are probably wondering what’s the next step to reduce any pain and swelling. Fortunately, most people are relieved to find out that they can easily prevent their bunion from getting worse or from becoming aggravated with some simple at-home strategies, such as:

  • Wearing appropriate footwear that supports the feet and doesn’t put pressure on the bunion
  • Applying a pad to the bunion prior to wearing shoes in order to reduce friction and pressure
  • Taking pain relievers and anti-inflammatory medications to reduce pain and swelling
  • Applying ice or heat to the bunion several times a day to ease achiness and pain
  • Losing excess weight and maintaining a healthy lifestyle

When these conservative treatment options fail it’s time to turn to our foot specialists in either Philadelphia or Paoli, PA, to find out what other options are out there for managing your symptoms. In this case, we can show you certain stretching and strengthening exercises that can alleviate pressure.

We may also recommend:

  • Custom orthotics (shoe inserts), which can provide additional support and cushioning when standing or moving
  • Night splints, which will straighten the deformed joint while you sleep in order to reduce morning pain and stiffness.
  • Taking a prescription pain reliever in the cases of extreme discomfort

If we have exhausted all nonsurgical treatment options and you still aren’t experiencing relief, then we may recommend bunion surgery to repair the joint. While surgery is the only way to truly get rid of a bunion, surgery is rarely necessary unless pain is severe, persistent, and cannot be eased through other treatment options.

Need relief? Give us a call

Wondering if a bunion is causing your foot pain? Having trouble managing your pain effectively with at-home care? If so, call Paoli and Center City FootCare Centers in Philadelphia and Paoli, PA, today to schedule and appointment with either Dr. Robert Cohen or Dr. Ushma Sheth. Dial (610) 647-0400 for Paoli, and (215) 545-0388 for Philadelphia.

By Paoli and Center City FootCare Centers
May 21, 2019
Category: Foot Conditions
Tags: Heel Pain  

Do your heels often feel sore or like acute pain is shooting through them? Is this worse in the morning, or maybe after a long walk or run? /Heel-PainAt Paoli and Center City FootCare Centers in Philadelphia, PA, Dr. Robert Cohen and Dr. Ushma Sheth investigate and treat heel pain, and when they see patients with these symptoms, they often find out that the condition at fault is plantar fasciitis. Read on to learn more!

 

What is plantar fasciitis?

Plantar fasciitis involves stress on and inflammation of the broad ligament located on the arch of the foot. This plantar fascia connects the toes and heel bone, and when overused, it becomes sore, red, and inflamed.

Also, gait imbalance leads to heel pain. If a person turns his or her foot inward while walking, it overstretches the plantar fascia, causing pain. Some people refer to this problem as overpronation or flat feet.

 

Treating heel pain

In their Philadelphia and Paoli offices, Dr. Sheth and Dr. Cohen inspect the feet of patients who complain of heel pain. They may do X-rays or an MRI, looking for heel spurs or problems with the Achilles tendon which runs from the calf to the back of the heel. Gait analysis is a common diagnostic tool, too.

Whatever the underlying cause, your podiatrist will show you ways to counter the stresses placed on your feet and to reduce, or even eliminate, your discomfort. Surgery, including plantar fascia release and bone spur removal, is an option, but typically used only in the severest of cases which do not respond to treatment.

Your treatment plan may recommend the following:

  • Foot flexion and ankle roll exercises performed upon waking in the morning (also advised by the Arthritis Foundation)
  • Wearing well-constructed shoes and sneakers which have adequate arch support
  • Customized shoe inserts, such as heel cups
  • Analgesics such as acetaminophen or anti-inflammatories such as ibuprofen or cortisone injections
  • Rest
  • Ice packs to the affected areas
  • Losing weight

In addition, Paoli and Center City FootCare Centers offer something called Extracorporeal Shock Wave Therapy, a non-surgical, in-office treatment that sends small sound waves into the tissues of the foot. This process breaks up scar tissue, boosts blood flow, and facilitates healing.

 

Sore heels?

Get back to normal with expert help from Paoli and Center City FootCare Centers. To schedule an appointment, please call one of our offices—for Philadelphia, phone (215) 545-0388, and for Paoli, dial (610) 647-0400.

By Dr. Cohen
March 11, 2019
Category: Foot Conditions
Tags: Toenail Fungus  

Are you suffering from toenail fungus?

Toenail fungus is when toenail, fingernail, or even skin under a nail, is infected. Dr. Robert Cohen and Dr. Ushma Sheth at Paoli and fungus Center City FootCare Centers in Paoli, PA, and Philadelphia, PA, can help you deal with toenail fungus with laser treatment.

What is toenail fungus?

Fungi, yeasts, or molds may result in toenail infection. Fungi thrive in warm, moist places, so try taking the following precautions:

  • Avoid using public showers and pools, which are great places for fungi to thrive
  • Avoid using nail clippers used by someone who has a toenail fungus
  • Take better care of your nail injury, so fungus doesn't infect the toe

What is laser treatment?

You will need to see your Paoli and Philadelphia, PA, podiatrist if you need treatment, especially since toenail fungus is hard to treat and can reoccur. The recurrence and severity needs longer lasting and more intense treatment, such as laser technology.

Laser treatment is FDA-approved laser beams over the infected nail. The pigmentation present in the fungi absorbs the laser's light which creates heat that kills organisms in the toenail.

There aren't any studies that indicate negative side effects to laser treatment; it doesn’t harm soft, healthy tissue near the infected nail bed.

There are other treatment options, as mentioned above, which include anti-fungal oral treatments.

Fungal treatment shouldn't be difficult, especially if you have a reliable doctor. Also, the laser treatment isn't painful and takes approximately 45 minutes. The toenail takes 6 to 9 months to show results, and you'll be able to walk with ease.

What are some other toenail fungus treatments?

Untreated toenail fungus can spread and result in more severe issues. Be sure to look out for the darkened, yellow, or white toenail, thick or brittle nail, and nails split from the nail bed.

Depending on how bad the infection, there are at-home and prescribed treatments including: topical and oral anti-fungal treatments that can suppress infection and symptoms.

Do you need a consultation?

For more information or to schedule an appointment for laser treatment at Paoli and Center City FootCare Centers in Paoli, PA, call Dr. Cohen and Dr. Sheth at (610) 647-0400 or call their Philadelphia, PA, location at (215) 545-0388 today!

By Dr. Cohen
January 14, 2019
Category: Foot Care
Tags: Bunions  

Here is a helpful guide for how to manage your bunion symptoms.

Bunion TreatmentA bunion is one of the most common foot deformities to affect adults and it’s characterized as a bony protrusion that often juts out from the base of the big toe. Over time, you may even notice that the big toe leans in on the other toes. Read below to learn what you can do to reduce bunion pain and swelling, but if your feet are still experiencing pain and discomfort afterward, call our podiatrists in both Paoli and Philadelphia, Dr. Robert Cohen, Dr. Ushma Sheth, and Dr. Ira Meyers.

 

Swap Out Your Shoes

If you find that wearing shoes leads to pain and swelling around the bunion, it’s time to ditch those shoes and to find ones that offer a better fit. Any shoes that put pressure on the bunion can make the problem worse. It’s also important to avoid shoes with heels over 2 inches tall, as high heels can also put additional pressure on the deformity.

 

Ice Your Feet

If you have an ice pack or a bag of veggies in your freezer, either one can be wrapped in a towel and applied to the bunion to numb the pain and to reduce swelling. Just make sure never to leave the ice on your foot for more than 20 minutes at a time and never apply ice directly to the skin, as this can cause serious burns. If you have nerve damage in your feet, talk to our foot doctors before applying ice to the area.

 

Wear Protective Padding

While in an ideal world you wouldn’t have to wear shoes at all and you could just let your sore, achy feet breathe, we know that this isn’t feasible; however, one preventative measure that you can take to reduce pain and discomfort from wearing shoes all day is to apply a bunion pad over the bony protrusion before putting on shoes. Bunion pads are made from a variety of different materials, from cloth to gel, and they can prevent friction and pain from occurring when walking around in shoes.

 

Concerned? Give Us a Call!

If your symptoms don’t seem to be responsive to over-the-counter pain relievers or any of these methods above, then it’s time to schedule a visit with our podiatrists, who can devise a better and more effective treatment strategy for managing your bunion symptoms. Only in severe cases is bunion surgery recommended.

Paoli and Center City FootCare Centers has offices in both Paoli and Philadelphia, PA, to provide you with comprehensive foot and ankle care when you need it most. If you suspect that you might have a bunion, call one of our offices today to schedule an appointment: (610) 647-0400 for Paoli, and (215) 545-0388 for Philadelphia.

By Dr. Cohen
October 29, 2018
Category: Foot Conditions
Tags: Toenail Fungus  

So, what's the big deal about a couple of thick, yellow toenails? Frankly, these symptoms of toenail fungus, or onychomycosis, are more than unsightly. They can cause bigger podiatric problems both for you and for your loved ones. At Paoli and Center City FootCare Centers in Philadelphia, your foot doctors, Dr. Robert Cohen, Dr. Ushma Sheth, and Dr. Ira Meyers, know how to prevent and treat this stubborn condition so you have healthy, attractive feet.

Symptoms of toenail fungus

Infected toenails usually are thick, yellowish to brown and often begin pulling away from the nail bed. This malady may spread to other toenails and even to the fingernails and other parts of the body if left untreated.

The American Academy of Dermatology states that people with weakened immune systems are very susceptible to onychomycosis. However, of the 10 million Americans who exhibit symptoms, most are in overall good health.

How to treat onychomycosis

If your symptoms persist, see your foot doctor in Philadelphia. He or she will examine your nails and feet and may prescribe an antifungal cream or oral medication. These interventions, along with changes in personal hygiene habits, can heal fungal toenails. However, the process takes time, and frequently, the problem comes back.

As such, Paoli and Center City FootCare Centers offer inventive laser toenail treatments. Using a Class IV, in-office laser light, your podiatrist will treat all ten of your toenails, symptomatic or not. The process requires more than one application; your podiatrist will determine how best and how frequently to treat your nails.

In most cases, the laser effectively kills the fungus organism at the cellular level and keeps it from returning. Painless and quick, laser toenail treatments have grown in popularity in recent years.

How to prevent onychomycosis

Please note that toenail fungus thrives in dark, moist environments such as sweaty socks and closed toe shoes and sneakers. So, to reduce your chances of having this stubborn problem, your foot doctor advises:

  • Changing your socks and shoes daily
  • Washing your feet with soap and water daily and drying them thoroughly
  • Cutting your nails straight across with a clean clippers
  • Wearing shower sandals in public pool areas, locker rooms, and showers
  • Refraining from sharing towels, shoes, and nail clippers with other people, even members of your family

The American College of Foot & Ankle Orthopedics & Medicine suggests using anti-fungal foot powder in shoes and socks during the hot weather or whenever your feet may become very sweaty (such as before a gym workout).

Yellow nails?

Be done with this annoying and unhealthy problem. For expert help, contact your friends at Paoli and Center City FootCare Centers. There are two convenient locations. For the Philadelphia, PA, office, phone (215) 545-0388, and for the Paoli, PA, location, call (610) 647-0400.





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