My Blog

By Paoli and Center City FootCare Centers
July 08, 2020
Category: Foot Care
Tags: Toenail Fungus  

Toenail fungus is a common condition, resulting in the yellowing, tearing, and disintegration of the nails. Unattractive and sometimes uncomfortable, toenail fungus is difficult to treat. Fortunately, you can eliminate toenail fungus with the help of the podiatrists at Paoli and Center City FootCare Centers located in Philadelphia and Paoli, PA. With a range of treatment options including over the counter, prescription, and in-office remedies, our skilled podiatrists will find a solution for you.

Over-the-counter treatments

Depending on the severity of your toenail fungus, you may be able to treat it using drugstore medications and ointments. Most of these options use undecylenic acid as the primary ingredient and come in formulas such as creams, sprays, and ointments. Your podiatrist at our Philadelphia or Paoli PA office can recommend a brand suitable for your needs.

Prescription treatments

If over the counter options fail to eliminate your toenail fungus, your podiatrist may give you a prescription for an oral medication such as Terbinafine, which is taken once daily for around three months. Results may take several months to appear, with the nail needing to regrow following the destruction of the fungus.

Laser treatments

For persistent toenail fungus, the podiatrists at our Philadelphia and Paoli PA offices offer laser treatments that destroy the fungus in one or more sessions, each lasting under a half-hour. You shouldn't experience any pain during the treatment and will be able to continue with your day immediately after. As with topical and prescription treatments, fungal laser treatment takes time to show results. It may take multiple months for your toenail to grow back in, and your podiatrist will have you apply an anti-fungal solution during the healing process.

Call the podiatrists at Paoli and Center City FootCare Centers today for help treating your toenail fungus. Reach our Philadelphia PA office at 215-545-0388 or our Paoli PA office at 610-647-0400.

By Paoli and Center City FootCare Centers
May 04, 2020
Category: Foot Care

How your podiatrists in Paoli and Philadelphia, PA can help your feet

Your feet play an important role in your life. They are responsible for your stability and carrying your weight. They help you get through your daily activities, so they deserve special treatment and a little TLC. They need even more care if you are one of the many people who are diabetic. The podiatrist at Paoli and Center City FootCare Centers in Paoli and Philadelphia, PA can help keep your feet healthy.

The effects of diabetes are far-reaching. Diabetes affects your immune, circulatory, and nervous systems, creating problems affecting normal function. These problems often show up in your extremities, including your feet.

It’s easy to injure your feet and you may not even realize it because your nervous system is compromised. Lack of blood flow can cause tissue damage, and immune system changes mean that if you do injure your feet, the injury may not heal properly and you can develop an open, painful diabetic sore or ulcer.

If you are diabetic, it’s good to know the basics of keeping your feet healthy. Remember to:

  • Wash your feet daily in warm water using mild soap
  • Moisturize your feet with lotion or cream after washing
  • Examine your feet daily with a hand mirror for any small cuts or blisters
  • See your foot doctor have your toenails clipped safely
  • Avoid walking around barefoot
  • Wear comfortable, supportive shoes and socks

If you are dealing with any type of wound, it’s time to call the experts, your podiatrists. They have several excellent treatments to get you back on your feet. They may recommend:

  • Oral or topical antibiotics to eliminate the infection
  • Topical medications to reduce wound pain
  • Protective bandaging

You don’t have to let diabetic foot problems interfere with your life. Instead, just pick up your phone and call the podiatrist at Paoli and Center City FootCare Centers in Paoli and Philadelphia, PA. Call now and help your feet!

By Dr. Cohen
April 10, 2020
Category: Foot Conditions
Tags: Plantar Fasciitis  

You might have plantar fasciitis if you are experiencing pain in the heels or arches of your feet. Plantar fasciitis is a foot condition that occurs when the connective tissues that run along the bottom of the feet become inflamed. The name plantar fasciitis is derived from these connective tissues, which are called plantar fascia. At Paoli and Center City FootCare Centers in Paoli and Philadelphia, PA, our experienced foot doctors, Dr. Robert Cohen and Dr. Ushma Sheth, diagnose and treat plantar fasciitis.


Many different factors can cause plantar fasciitis. A common cause is overpronating when stepping. Overpronating is associated with the feet rolling inward when taking a step, whether walking or running. The feet flatten as they roll inward, which causes the arches to become stretched and puts tension on the plantar fascia tissues that run from the heels to the toes. Chronic tension in these tissues can lead to inflammation. When the plantar fascia tissues are inflamed, a person is likely to experience pain or discomfort in the heels or arches of the feet.

Several other factors can cause plantar fasciitis to occur. In addition to overpronating, repeated stress on the heels can lead to the development of the condition. Other causes of plantar fasciitis can include:

  • Being overweight
  • Daily stress on the feet
  • High-impact workouts
  • Extensive walking
  • Long-distance running
  • Standing for extended periods


There are a few distinct signs you have plantar fasciitis. Experiencing pain on the bottom of the heels is a common symptom. Another sign of plantar fasciitis is heel pain that becomes more severe over time. Additionally, many patients experience more intense pain when they first get up in the morning or after sitting for an extended length of time. In both cases, the pain can be lessened by walking around for a few minutes, which gently stretches the plantar fascia tissues. Our podiatrists can determine if your heel pain is due to plantar fasciitis.


Plantar fasciitis can be treated through several methods. Initial treatment strategies can include limiting physical activities temporarily, performing stretching exercises, wearing shoes that provide adequate arch support, and taking pain relievers. More serious cases might require advanced treatment methods, such as injection therapy, physical therapy, custom orthotics, a removable walking cast, a night splint, or padding and strapping. The skilled foot doctors can recommend the right combination of treatments for you.

Chronic heel pain that has gotten progressively worse over time is a sign that you might have plantar fasciitis. Treatments are available for correcting the problem and alleviating the pain. To schedule an appointment with Dr. Cohen or Dr. Sheth, our knowledgeable foot doctors, call Paoli and Center City FootCare Centers in Philadelphia at (215) 545-0388. Appointments are also available at our office in Paoli by calling (610) 647-0400.

By Dr. Cohen
February 24, 2020
Category: Foot Conditions
Tags: Wound  

Keep your blood glucose under control and know how to properly care for your feet with diabetes.

When it comes to caring for patients with diabetes, the main goals of our Philadelphia podiatrists Dr. Robert Cohen and Dr. Ushma Sheth is to prevent foot problems from occurring in the first place while also providing comprehensive wound care to reduce the risk for complications.

Take Diabetic Wounds Seriously

Anyone with diabetes should know that cuts, blisters, open wounds, and other issues require immediate medical care to prevent complications. Even the smallest problems such as an ingrown toenail can lead to infection. Here are some of the reasons why people with diabetes experience delayed wound healing.

High Blood Glucose Levels

Diabetes occurs when the body does not know how to properly manage glucose, or blood sugar. If high blood glucose levels aren’t treated through lifestyle changes and medication this can cause the blood vessels to narrow, resulting in diabetic neuropathy or nerve damage, which greatly impacts wound healing in diabetic patients.


Neuropathy or nerve damage is extremely common in diabetics. As many as 50 percent of people with diabetes have peripheral neuropathy, and more than 30 percent have autonomic neuropathy. High blood glucose damages nerves, which cause a loss of sensation in the feet and hands, making it difficult for patients to recognize open wounds, sores or ulcers when they develop. This is why it’s so important for all of our diabetic patients to perform daily self-exams of their feet to look for problems such as:

  • Blisters
  • Corns and calluses
  • Cuts, scrapes and sores
  • Redness or tenderness
  • Bunions
  • Ingrown toenails
  • Athlete’s foot or fungal infections

Even the smallest changes in the health of your feet could lead to more serious complications, so it’s important that you turn to our Philadelphia podiatrists for professional wound care at the first sign of a problem.

Circulation Issues

Since the blood vessels have narrowed due to high blood glucose levels this also decreases circulation within the feet. As a result, less oxygen and nutrients can get to the tissue within the feet to help heal and repair damaged tissue. With the decrease in circulation also comes a decrease in white blood cells, which are needed to help fight any infection that is present.

With offices in Paoli and Philadelphia, PA, Paoli and Center City FootCare Centers is your premiere practice for handling your foot and ankle problems. If you are dealing with diabetic foot problems our team can provide you with the immediate wound care you need. Call (610) 647-0400 for our Paoli office or (215) 545-0388 for our office in Philadelphia.

By Dr. Cohen
December 04, 2019
Category: Foot Conditions
Tags: Podiatrist  

Prevent foot and ankle problems or treat them if they do develop. At Paoli and Center City FootCare Centers in Paoli and Philadelphia, PA, Footyour podiatrists keep your feet healthy with precise diagnostics and comfortable treatments for a wide range of podiatric issues. Both Dr. Robert Cohen and Dr. Ushma Sheth are experienced foot surgeons, helping patients achieve optimal mobility and well-being.


You need your feet

The American Podiatric Medical Association (APMA) says that by the time you are 50, your feet will have taken you at least 75,000 miles. Imagine trying to walk all that way with feet that hurt, are injured, have acquired or congenital abnormalities, or untreated diabetes!

It's your Philadelphia, PA, podiatrists' business to ensure your feet are an active part of your lifestyle and a well-functioning part of your overall health. The APMA recommends annual podiatric foot examinations starting at age 40. If you are diabetic, you likely will see Dr. Cohen or Dr. Sheth two to three times a year or whenever your condition warrants.

During a podiatric examination, your foot doctor visually inspects your feet, their structure, skin, nails and circulation. He or she also will watch you walk and talk about any symptoms you may have such as pain, rashes, thick nails, numbness, odor, cysts and more. MRIs, CAT scans, and X-rays help confirm diagnoses as needed.

Together, you'll work on a care plan to address any problems. The team at Paoli and Center City FootCare Centers takes the most conservative and common sense approaches possible. Surgery is always a last resort, and if needed, aims to preserve overall health, restore function and eliminate pain.


What we treat

The conditions treated are numerous. They include, but are not limited to:

  • Fungal nails
  • Athlete's foot
  • Bunions
  • Diabetic neuropathy and wounds
  • Hammertoes
  • Neuromas
  • Sports injuries
  • Ingrown toenails
  • Flat feet
  • Plantar fasciitis
  • Overpronation
  • Achilles tendinitis
  • Ankle fractures, sprains, and instability
  • Corns
  • Calluses
  • Warts
  • Gout
  • Arthritis
  • Peripheral circulation problems

Additionally, we deliver innovative services such as

  • Laser therapy
  • Cryosurgery
  • Customized orthotics (shoe inserts)
  • Physical therapy


Come see us

You really should. Foot health is so important. We have two locations to serve you. Call us for an appointment with your podiatrist. For the Paoli office, phone (610) 647-0400. For Philadelphia, PA, phone (215) 545-0388.

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