Toe nail fungus (onychomycosis) is often a product of the environment in which the foot and toenails live. Inside the shoe is dark, damp and warm…just perfect to nurture a fungal infection. So how do we treat toenail fungus? Oral Lamisil is prohibitively expensive and has a significant profile of side effects. Topical medication do work over time but the big key is compliance. Application of a topical antifungal needs to be at least twice daily.
Just For Toenails is a new addition to our product line at Myfootshop.com that might just help many folks enjoy the process of treating fungal nails. Just For Toenails is a topical antifungal nail polish that actually comes in colors. In addition to colors, we also carry a clear version for men or for use on the finger nails.
Can it work? As a foot doctor, I have to believe it can. Just For Toenails contains tea tree oil which has been proven to be an active antifungal and anti-bacterial agent. But again, the key lies in applying it on a regular basis.
Jeff Oster, DPM
Medical Director
Myfootshop.com
The reason for in-toe gait can be many. We’ll typically see an increase in in-toe gait in young girls as they near adolescence. A common reason for in-toe gait is internal femoral position. Children with in-toe gait ought to be evaluated by a podiatrist or orthopedist prior to treatment. One of the more common methods of treatment used to treat internal femoral position is a foot insert called a gait plate.
This discussion looks at the use of gait plates to treat in-toe gait.
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It’s inevitable for many of us that one foot is going to be smaller than the other. So what do you do? Buy two different sizes? Solutions don’t need to be that dramatic. This discussion reviews some of the more common products and techniques used to get shoes to fit correctly.
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Symptomatic stage 1 posterior tibial tendon dysfunction (PTTD) can be addressed in many cases with a prescription arch support called an orthotic. But as PTTD progresses to stage 2 and we see a collapse of the medial arch, we need to start to use more of a brace, bigger and more supportive than the orthotic. In many cases we’ll incorporate the orthotic into an articulated ankle brace.
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If you think of Morton’s neuroma as a nerve entrapment, then you can easily compared Morton’s neuroma to carpal tunnel syndrome. And the techniques for treating Morton’s neuroma become easier to understand when you think of it as a nerve entrapment. So can Morton’s neuroma be treated with an endoscopic technique just like carpal tunnel is treated? You bet. And it works pretty darned well, too. It’s a technique called the EDIN procedure.
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I look at chemical and cryoneurolysis as being a bit counterintuitive; you leave the problem but treat the pain. That takes a bit of a shift in your thinking and the way that we’re accustom to treating pathology. So with chronic sesamoid pain, do you treat the pain and leave the sesamoid intact?
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As a podiatrist, I’m in a unique position to comment on this question. Sure, I perform bunionectomies on a regular basis. but I’ve also had a bunionectomy. I had an Austin bunionectomy on my left foot.
When’s the right time to have bunion surgery? Without sounding like I’m beating around the bush, the answer really is, it depends. It depends upon the severity of your problem, the duration of pain and your limitations. Did you read the word pain? If it doesn’t hurt, it’s going to be best to simply leave it alone. But if your bunion hurts, that’s another story.
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