My Blog

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.

By Dr. Cohen
September 07, 2018
Category: Foot Conditions
Tags: Bunions  

What your podiatrists in Philadelphia and Paoli, PA wants you to know

 

Foot BunionYou may be wondering if you have a bunion. A bunion is a large, bony bump on the side of your big toe. Bunions can be painful and make it very difficult to wear shoes comfortably. The bunion can rub against the inside of your shoe, causing irritation and pain. The good news is a bunion can be treated effectively.

Dr. Robert Cohen, Dr. Ushma Sheth and Dr. Ira Meyers at Paoli and Center City FootCare Centers want to share their knowledge about bunions and how to get relief from bunion pain. They have two convenient office locations in Philadelphia, and Paoli, Pennsylvania to help you and your feet.

Bunions occur mainly in women. In fact, according to the American Academy of Orthopedic Surgeons, over fifty percent of American women will suffer from a bunion. Women often wear shoes that are too narrow, or high heels which tend to push toes forward, causing friction and pressure on toes. Bad shoes aren’t the only reason bunions develop. Other causes include:

  • Genetics
  • Having flat feet
  • Foot trauma or an injury
  • Overpronating when you walk
  • Bone deformity in your foot
  • Rheumatoid or osteoarthritis

For small bunions, you can try a few simple home remedies like these:

  • Taping the area to support the bunion
  • Placing padding inside your shoes for added cushion
  • Changing to wider shoes with more room for your toes

Larger bunions need the help your podiatrist. They may recommend:

  • Custom-fit orthotics or footwear
  • Physical therapy exercises
  • Protective padding inside your shoes
  • Removing corns or calluses to eliminate friction

For bunions with significant bone involvement, surgery may be suggested to realign your foot and toe. We will discuss which option might be best for you.

For more detailed information about bunions, please visit the Bunions page on the website at https://www.paolifootcarecenter.com/bunions.html

Get some relief from your bunion pain by calling Dr. Robert Cohen, Dr. Ushma Sheth and Dr. Ira Meyers at Paoli and Center City FootCare Centers, with offices in Philadelphia, and Paoli, Pennsylvania. Call today!

By Dr. Cohen
July 23, 2018
Category: Foot Care
Tags: Heel Pain  

Don’t let heel pain keep you from enjoying your daily run!heel pain

Is heel pain preventing you from going on your morning run? Do you hate having to get up in the morning because you know your foot is going to ache and throb? If this sounds like something you are going through right now our Paoli and Philadelphia, PA, podiatrist, Dr. Robert Cohen, is here to tell you what might be going on and what you can do about it.

More often than not heel pain is the result of a condition known as plantar fasciitis. The plantar fascia is a thick, fibrous band of tissue that runs along the soles of the feet and provides the arches with support. When the fascia becomes inflamed, often as a result of overuse, heel pain sets in.

If your heel pain is located at the bottom of your heel as well as the arches and is at its worst first thing in the morning or immediately after exercise then you could be dealing with plantar fasciitis.

Of course, unless you visit your Paoli and Philadelphia foot doctor you won’t know for certain whether or not plantar fasciitis is to blame. Luckily, most healthy individuals dealing with mild or even moderate forms of heel pain can manage their symptoms with simple at-home measures such as:

  • Over-the-counter pain relievers
  • Splinting or bracing the foot
  • Resting and staying off your feet whenever possible
  • Avoiding high-impact activities or activities that exacerbate your symptoms
  • Stretching/strengthening exercises
  • Physical therapy
  • Wearing supportive footwear
  • Using custom orthotics (shoe inserts)
  • Extracorporeal Shock Wave Treatment (ESWT)

If you find that your symptoms just continue to persist or get worse after two weeks of at-home care then it’s time to come in and visit a podiatrist who will be able to figure out what’s going on and how to treat the problem. In more serious cases of chronic plantar fasciitis, treatment options such as corticosteroid injections, ultrasound or shockwave therapy may be recommended to facilitate a faster and more effective natural healing process while also reducing pain and inflammation.

Don’t let heel pain affect what matters most in life. Our Philadelphia and Paoli, PA, foot and ankle specialists are here to provide the comprehensive care you need so you can get back to what’s most important to you. Call Paoli and Center City FootCare Centers today.





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