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Nicholas C. Noah

Podiatrist (Foot and Ankle Specialist)

Dr. Nicholas C. Noah is a top Podiatrist (Foot and Ankle Specialist) in Wilmington, . With a passion for the field and an unwavering commitment to their specialty, Dr. Nicholas C. Noah is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Nicholas C. Noah is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Nicholas C. Noah is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Wilmington, NC, Dr. Nicholas C. Noah is a true asset to their field and dedicated to the profession of medicine.
Nicholas C. Noah
  • Wilmington, NC
  • Barry University School of Podiaric Medicine and Surgery
  • Accepting new patients

Are arch supports the only way to treat neuroma?

Hello and thank you for your question. Conservative treatments for a neuroma include RICE, anti-inflammatories, OTC orthotics, custom orthotics, metatarsal padding, injections, READ MORE
Hello and thank you for your question. Conservative treatments for a neuroma include RICE, anti-inflammatories, OTC orthotics, custom orthotics, metatarsal padding, injections, specific foot exercises, wide shoe gear and if needed aggressive physical therapy. In only recalcitrant cases is surgery considered. Best of luck to you and God bless.

Is a bunion a bone growth?

Hello and thank you for your question. A bunion or hallux valgus is a deformity secondary to a musculoskeletal imbalance in your foot which leads to a painful bump on the big toe. READ MORE
Hello and thank you for your question. A bunion or hallux valgus is a deformity secondary to a musculoskeletal imbalance in your foot which leads to a painful bump on the big toe. There are conservative and surgical treatments. I recommend you see a podiatrist so they can further discuss the severity of your deformity.
Thank you.

How are corns under a toenail removed?

Hello, and thanks for your question. Corns and calluses that occur at the tip of the toe and/or under the nail are called distal clavi. They are caused by abnormal pressure, usually READ MORE
Hello, and thanks for your question. Corns and calluses that occur at the tip of the toe and/or under the nail are called distal clavi. They are caused by abnormal pressure, usually from a digital deformity. These lesions are normally trimmed or debrided without the need of local anesthetic. This is something that is done in the office. Patients sometime report tenderness upon debridement. If the patient is not able to tolerate the debridement due to pain, then I recommend performing a digital nerve block before aggressive debridement. I wish you and your grandmother the best.

What can I do for my dry and cracked heels?

Thank you for your question. I would recommend using keratolytic creams on your heels twice a day. Examples are urea cream and ammonium lactate. Keratolytic creams help to shed READ MORE
Thank you for your question. I would recommend using keratolytic creams on your heels twice a day. Examples are urea cream and ammonium lactate. Keratolytic creams help to shed thick, dry skin. There are over the counter manual skin debridement devices as well. Hope this helps. Good luck to you.

Should I see a podiatrist for my feet If I have diabetes?

Hello and thank you for your question. The simple answer to your question is yes. Diabetic patients should see a foot doctor once a year at minimum. I would ask your primary care READ MORE
Hello and thank you for your question. The simple answer to your question is yes. Diabetic patients should see a foot doctor once a year at minimum. I would ask your primary care physician for a referral to Podiatry. I wish you the best of luck. God bless.

Should I stay away from pedicures?

Hello and thank you for your question. While it is true that some facilities are not as sanitized as others, I do not entirely rule out pedicures. I tell my patients to use a common READ MORE
Hello and thank you for your question. While it is true that some facilities are not as sanitized as others, I do not entirely rule out pedicures. I tell my patients to use a common sense approach about getting pedicures if they are healthy and without vascular disease, neuropathy or a history of infections. If the facility is maintained properly then you should not worry. If you have any question about the cleanliness of a salon I would be careful and think twice. Good luck to you and God bless.

How are bunions removed?

Hello and thank you for your question. Bunions or hallux abductovalgus is a musculoskeletal disorder that affects the big toe joint. There are surgical and non-surgical treatments. READ MORE
Hello and thank you for your question. Bunions or hallux abductovalgus is a musculoskeletal disorder that affects the big toe joint. There are surgical and non-surgical treatments. If patients have a painful bunion that has not responded to conservative treatment then I discuss surgical intervention. A patients bunion would need to be worked up in the office to choose the correct bunion correction. I appreciate your question and good luck to you.

Why do I have swollen feet inspite of taking anti-inflammatory medicines?

Hello, if you have been diagnosed with plantar fasciitis I recommend you see a foot and ankle specialist to treat your condition. Plantar fasciitis is a common condition that causes READ MORE
Hello, if you have been diagnosed with plantar fasciitis I recommend you see a foot and ankle specialist to treat your condition. Plantar fasciitis is a common condition that causes heel pain. I recommend conservative treatment for the first 6 months of treatment. Thank you for your question and good luck to you.

I have a bulging bone just below my toe. What could it be?

Hello and thank your for your question. Normally when patients complain of a painful lesion on the toe it is either a corn or callus most commonly which occurs secondary to a READ MORE
Hello and thank your for your question. Normally when patients complain of a painful lesion on the toe it is either a corn or callus most commonly which occurs secondary to a hammertoe deformity. I recommend you see a podiatrist for a complete workup. Thank you for your question and good luck to you.

I think I have an ingrown toenail. What does this usually look like?

Hello and thanks for your question. An ingrown nail will typically present as redness, swelling, and pain along the nail fold. Sometimes if the infection has progressed, there READ MORE
Hello and thanks for your question. An ingrown nail will typically present as redness, swelling, and pain along the nail fold. Sometimes if the infection has progressed, there will be drainage from the affected side of the nail. For patients with an infected ingrown nail or paronychia, I recommend a quick in-office procedure.

I wish you luck and God bless.

How are calluses treated?

Hello, thanks for your question. Hyperkeratotic lesions, a.k.a. callouses, can be treated conservatively and surgically dependent on the musculoskeletal deformity present. READ MORE
Hello, thanks for your question.

Hyperkeratotic lesions, a.k.a. callouses, can be treated conservatively and surgically dependent on the musculoskeletal deformity present. I would recommend urea cream and a ped egg until you can see a professional.

Thank you for your question and God bless.

I have a recurrent problem of ingrown toenails. What should I do?

Thank you for your question. For my patients with recurring ingrown nails who do not have severe PAD I recommend a chemical matrixectomy which would be performed in office and READ MORE
Thank you for your question. For my patients with recurring ingrown nails who do not have severe PAD I recommend a chemical matrixectomy which would be performed in office and takes less than 10 minutes. In the meantime, I recommend warm soapy water with epsom salt soaks twice a day. I recommend you see a podiatrist for your condition. I wish you well and God bless.

I have a little bone growth just under my toe. Will it have to be treated with surgery?

Thanks for your question. I am sorry you are dealing with an abnormal growth on your toe. It is rather rare to have a true osseous growth on a toe. I would need more clinical information READ MORE
Thanks for your question. I am sorry you are dealing with an abnormal growth on your toe. It is rather rare to have a true osseous growth on a toe. I would need more clinical information to appropriately answer your question. I have seen patients who self diagnose themselves and have an entirely different problem then what they thought. I would need to examine you to find out what your diagnosis is. Please do not hesitate to contact the office for an appointment. I wish you all the best. God bless.

How is a diabetic foot treated?

Hello and thank you for your inquiry. So, what is the standard of care for diabetic foot care? This is actually a great question. So, diabetes is a microvascular disease that READ MORE
Hello and thank you for your inquiry.

So, what is the standard of care for diabetic foot care? This is actually a great question. So, diabetes is a microvascular disease that can affect the small vessels that supply blood to the retina, peripheral nerves and kidney. This can result in the classic triad of diabetic retinopathy, peripheral neuropathy, and nephropathy. So, when evaluating the diabetic foot, there are certain things to pay close attention to. During a diabetic foot exam, I examine the patient's skin, nerves, blood supply, and their overall foot structure. More common issues I experience in the diabetic foot are infection, wounds, thick fungal nail, callouses, and poor circulation. Uncontrolled diabetics are susceptible to lack of sensation in their feet, i.e., neuropathy. So, these patients do not feel their feet like someone who does not have neuropathy. This will lead to ulcers and infection. The best advice I can give to my diabetic patients is to check their feet daily, wear proper shoes that do not cause areas of irritation, use a moisturizer to combat dry skin, and get a referral from your PCP to see a podiatrist.

Thank you so much for your question and I wish you the best!

Can a bunion be treated without surgery?

Hello, Thanks for your question. Bunions can be treated conservatively with shoes with a wide toe box, bunion splints, gel pads/sleeves/spacers, OTC orthotics and custom orthotics READ MORE
Hello,

Thanks for your question. Bunions can be treated conservatively with shoes with a wide toe box, bunion splints, gel pads/sleeves/spacers, OTC orthotics and custom orthotics to name a few options. Unfortunately hallux valgus (bunions) is a biomechanical and structural condition that can not be cured with conservative treatments due to its progressive nature. So with time the bunion can become more pronounced. I do not recommend bunion surgery on patients who do not have pain. I treat each patient on a case by case basis. If you have further questions please do not hesitate to contact the office. Thanks and God bless.

What shoes should I wear for hammertoe?

Hello, Patients that are your age and are already developing hammertoes should certainly only wear shoes with a deep and wide toe box and also shoes with stretchable material READ MORE
Hello,

Patients that are your age and are already developing hammertoes should certainly only wear shoes with a deep and wide toe box and also shoes with stretchable material over the toes. There are a wide array of choices as far a brands are concerned. Orthofeet and Aetrex are some examples that have men's and women’s shoe gear. As far as athletic shoes are concerned, I would use a brand you are comfortable with that has options with a stretchable and accommodating toe box.

I hope this helps! Have a great day.

My grandfather's wound is not healing. What should we do?

Hello, I am sorry to hear about your grandfathers condition. It sounds like he has a plantar foot ulcer with signs of infection. Your grandfather should see a podiatrist immediately. READ MORE
Hello, I am sorry to hear about your grandfathers condition. It sounds like he has a plantar foot ulcer with signs of infection. Your grandfather should see a podiatrist immediately. His wound needs a through workup that would include an x-ray of the foot, a deep wound culture, debridement of the dead tissue in and around the wound and proper offloading of the wound either with a walking cast or walking boot at a minimum. If he is running a fever you should take him to the ED immediately. I wish you and your grandfather well. If you have any further questions do not hesitate to contact my office. Thank you and God bless.

I am not able to flex my foot. Why?

Hello, having a painful foot while flexed or plantar flexion can be a number of things. More commonly a condition called PTTD aka posterior tibial tendon dysfunction or posterior READ MORE
Hello, having a painful foot while flexed or plantar flexion can be a number of things. More commonly a condition called PTTD aka posterior tibial tendon dysfunction or posterior tibial tendonitis is the culprit. This tendon is the main plantarflexor and inverter of the foot. It is normally caused by pes planus (flat foot) and over pronation secondary to a tight heel cord and flat foot. If you can not flex your foot at all your condition could be neuromuscular in etiology. You should seek medical advice if your pain continues. I wish you the best. Feel free to contact the office if you would like an appointment. God bless.

My foot still hasn't healed after I fell last month. What should I do?

Hello. There can be many reason for a non-healing wound ie. Circulation, pressure, neuropathy ect. A physical exam and review of your medical history would help determine the etiology READ MORE
Hello. There can be many reason for a non-healing wound ie. Circulation, pressure, neuropathy ect. A physical exam and review of your medical history would help determine the etiology of your wound. I would recommend you seek medical attention. If you would like to be seen please do not hesitate to contact the office. Good luck and God bless.

I have what looks like a blister but it isn't going away. It's also painful. What should I do?

It sounds like you may have an abscess on the bottom of your foot, which is an infectious process that should be evaluated by a medical professional. Your best course of action READ MORE
It sounds like you may have an abscess on the bottom of your foot, which is an infectious process that should be evaluated by a medical professional. Your best course of action is to have it looked at immediately. Good luck and I wish you well. If you have additional questions please call the office.