My Blog

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.

By Dr. Cohen
April 11, 2018
Category: Uncategorized
Tags: Untagged

Could your foot problems be due to a bunion? Help is on the way!

A bunion is a fairly common foot ailment; however, just because you have one doesn’t mean that you have to just put up with the pain and discomfort. Learn more about this condition and how your podiatrist may be able to help provide the relief you’ve been looking for.

What is a bunion?Bunions

A bunion is a bony bump that originates at a toe’s joint. While any toe can be affected, bunions are most often found at the base of the big toe.

What are the symptoms?

The most common symptoms of a bunion are:

 

  • A large, hard protrusion at the base of the big toe
  • Localized pain and swelling
  • Soreness and redness around the affected toe
  • Difficulty moving the big toe
 
If you are experiencing chronic foot pain, decreased mobility and a visible bump on the joint of the big toe, then it’s time you visited your foot doctor for proper care.

 

What causes a bunion to form?

A bunion forms when weight isn’t distributed evenly on the joints of the feet. Over time this causes the joint to become unstable and form a hard lump. A bunion may be the result of a congenital foot deformity, a past injury or arthritis. There is also a debate as to whether wearing tight, high-heeled shoes could also cause a bunion to form.

What treatment options are available to me?

There are many conservative options that you can try to help alleviate your bunion symptoms. Some of the most common options include:

 

  • Wearing shoe inserts or custom orthotics (which your podiatrist can prescribe for you)
  • Only wearing shoes that fit comfortably and give your toes room to move
  • Splinting or taping the foot so it’s in the proper position
  • Taking over-the-counter anti-inflammatory medications like Tylenol or Aleve
  • Taking prescription medication or cortisone injections may also reduce pain and swelling, particularly if symptoms are more severe
  • Applying a wrapped ice pack to the bunion to reduce swelling and discomfort

Can a bunion be removed?

While the treatment options above are designed to reduce and even eliminate the pain you are experiencing, they are not designed to remove or get rid of the bunion. The only way to truly get rid of a bunion is to have it surgically removed, and surgery is not often recommended until you have exhausted all other treatment options and still haven’t experienced any relief.

Will a bunion get worse if left untreated?

Bunions are known to increase over time, but it will be hard to predict when a bunion will get larger. When you come in to see your foot doctor we may be able to determine just how large your bunion may become over time.

Contact your Podiatrist

A bunion doesn’t have to rule your life. Turn to your podiatrist to find the answers you need to treat your bunion symptoms effectively.

September 29, 2009
Category: Uncategorized
Tags: Untagged

Whether you are an existing patient or searching for a podiatrist in the Paoli area, we're excited you are here. With the podiatry industry advancing, we recognize the importance of keeping our patients and visitors up to date with all of the new and exciting things taking place in our practice.

As we move forward with our blog, we hope to promote podiatric awareness as a vital part of your healthy, active lifestyle. Here you will find a variety of articles and topics including the latest developments in podiatry, podiatric treatments and helpful foot care advice from Dr. Cohen and his staff.

We hope you find our blog to be helpful, engaging and informational to ensure the long-term health of your feet.

As always, feel free to contact us with any questions or concerns.

 

-- Dr. Cohen





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