local irritation and sensitivity and tendinitis. In the surrounding soft tissue are the neurovascular bundles. Local pressure can produce nerve irritation and neuritis. Finally deep to this are the structures of bone and joint. Local bone spurs and degenerative arthritis can cause focal tenderness, but this would also most commonly occur with activity. I would suggest that if symptoms become increasingly worse to include involvement in activity or increasing pain you would be best served having evaluation by medical provider. If it is found that this is being impacted by a singular shoe or a certain style of shoe then these should be avoided.
the lesion fails to improve as suggested or there is worsening I would encourage evaluation by a medical specialist to include a podiatrist or dermatologist.
population. When someone does start to complain of fatigue or soreness, particularly with physical activity, we usually do escalate treatment for the management of this deformity. Initial care is quite conservative to evaluate factors that have influenced the development of this discomfort. This can include evaluation of your training regimen as well as the
environment that you're running. Footwear can have a significant influence, too.
associated complaints of joint pain or other systemic complaints, there may be consideration to be seen by her primary care provider or a rheumatologist to make sure that there is no underlying rheumatic process that may be contributing to this. Other factors besides the cold that may stimulate this process can include tobacco misuse, which should clearly be avoided. Obviously, continued protection from extreme thermal cold is also important, utilizing layered socks and avoiding immersion into water such as
street puddles that may develop.
local purulent or clear drainage, and focal tenderness. The inflammatory process is the body's response to the foreign substance in its effort to eliminate the material. It is not unheard of to see gradual elimination of foreign substance over time as a "splitting" or expression through an opening of the skin if it remains superficial. Deeper retained objects can encapsulate and remain benignly present, but if they produce pain or dysfunction, they will require surgical excision. Many times, the retained objected is removed at the time of injury, but the persistent pain is a result of the local penetrating trauma to the tissue. This should improve within a few weeks from time of injury. Signs that suggest a follow-up evaluation include persistent redness to the area, drainage, pain that does not trend in an improved or resolved fashion, visualization of a persistent wound, and even identification of the retained foreign object. If there remains a concern for a retained foreign object, X-rays and even an ultrasound can be performed to help identify its presence.
as rest pain when inadequate arterial circulation reaches to the distal extremity. This can be a finding in patients with arterial occlusive disease prompted by atherosclerosis or tobacco misuse. Your presentation sounds quite benign and I believe can be relieved with postural repositioning when sitting for prolonged periods and pumping exercises of the foot to promote circulation to the area.
contractures. It is an unfortunate tale that the ideal foot presentation is frequently lost due to the nature of the activity.
comes to lower extremity musculoskeletal conditions. Obviously, there is always concern regarding potential medical disorders such as different types of arthritis that may present with this type of discomfort. I have found moderation in everything seems to be the answer. Excessively high-heeled shoes as well as poorly supportive slip on flat shoes tend not to do well. A slight wedge can always be beneficial and can be achieved with many types of clogs as well as good walking shoes or running shoes with a
heel lift. We encourage stretching exercises particularly for the posterior leg muscle groups of the calf that are readily identified as runners wall lean stretches and foot dorsiflexion stretch exercises. If these modifications and exercises are done and pain relief is not achieved, then an evaluation by a qualified medical specialist would be a reasonable consideration.
few weeks of use. Good hygienic care of the feet to prevent exposure to environments conducive to this type of mold-like growth is critical specifically gym showers, pool decks and other areas of high traffic. It must be appreciated that there are other types of dermatitis that can produce similar findings of athlete's foot to include redness, scaling, itchiness and if your condition does not respond timely to traditional anti-fungal preparations it may be of benefit to have the skin eruption or rash evaluated by a medical provider. Skin scraping can be performed painlessly to determine if there are presence of fungal elements. If sterile you may be suffering from a noninfectious dermatitis that may better respond to other treatment such as topical steroids or lotions.
excessive body weight, injury, and concomitant disease states (often those that affect the musculoskeletal system, such as arthritis, connective tissue disorders, metabolic bone disease, etc.). Things we can do to minimize foot deformity impact on our quality of life - make sure shoes are well-fitted, accommodate foot structure well, and have limited heel height; maintain a healthy body weight; regular exercise that does not cause reproducible pain to the feet particularly over areas of deformity; and monitoring for any other associated signs such as developing joint pains to include feet and elsewhere in the body. Although feet may not always be aesthetically beautiful regarding deformity presentation, the more important aspect is that they are pain free and allow us to remain mobile and active. When dealing with these deformities, the latter must always be considered paramount.
My mother is diabetic and has thick nail growth in her feet. How can we cut them while avoiding injury?
include bone and cartilage, ligament, tendon and nerve. With this in mind, your injury may warrant more aggressive initial protection than simply a soft wrap and limited activity. Followed by this period of appropriate protection you may also benefit from formal physical medicine and rehabilitation in order to achieve a more expedient restoration of ankle function and reduce the likelihood of chronic issues.