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May 2020

Tuesday, 26 May 2020 00:00

Ankle Sprains

Ankle sprains occur when ligaments that support the ankle stretch beyond their limits and tear. These types of injuries are very common and can occur in people of all ages. Sprains may range from mild to severe, depending on how much damage is done to the ligaments. If a sprain goes untreated, a more severe sprain may occur which can further damage the ankle. Repeated ankle sprains can lead to chronic ankle pain.

There are some risk factors that can increase your risk of suffering a sprained ankle. Those who participate in sports, walk on uneven surfaces, have a prior ankle injury, are in poor physical condition, or wear improper shoes are more likely to get a sprained ankle.

There are a few symptoms to look out for if you suspect you are suffering from a sprained ankle. Some common symptoms are swelling, bruising, tenderness, and instability of the ankle. In cases where the tearing of the ligaments is severe, there may be a “popping” sound when the strain occurs.

The RICE method is proven to be effective in treating ankle sprains. RICE stands for Rest, Ice, Compression, and Elevation. Rest is important for treatment especially within the first 24 to 48 hours. You should also ice your sprained ankle for the first 48 hours for 20 minutes at a time. A small piece of cloth should be placed between the ice and the affected area. For the compression step, you should wear a brace that is snug, but not too tight that it cuts off circulation. When choosing a brace, be sure to choose one that is suitable for the type of ankle sprain you have. Lastly, you should elevate your foot above the heart as often as possible.

After you treat a sprain, you should go through rehabilitation to prevent the injury from occurring again. There are three phases to the rehab process. The first phase involves resting, protecting and reducing the swelling of the injury. The second phase consists of restoring the ankles flexibility, range of motion, and strength. The third phase consists of slowly returning to activity and maintenance exercises.

If you suspect you have an ankle sprain, you shouldn’t hesitate to consult with your podiatrist. Your podiatrist will be able to give you a proper diagnosis and a suitable treatment option for your condition.

Tuesday, 26 May 2020 00:00

Levels of Sprained Ankles

Ligaments that are injured on the outside of the ankle are generally the cause of an ankle sprain. This type of injury can cause limited range of motion, and it can become difficult to accomplish daily activities. There are several levels of ankle sprains. Mild sprains can produce slight swelling surrounding the ankle bone, and it is likely there is little joint instability. If moderate pain is felt, it may be accompanied by stiffness and bruising, in addition to weakened joints. Severe pain is felt in what is referred to as a grade three sprain, and it can indicate a total ligament rupture. If you have sprained your ankle, it is strongly advised that you consult with a podiatrist who can determine the severity of the injury, and begin the correct treatment for you.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Derek T. Pantiel from Summit Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact one of our offices located in Wilmington, Whiteville, and Burgaw, NC. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Monday, 18 May 2020 00:00

Common Symptoms of Athlete's Foot

Athlete’s foot is a contagious fungal skin infection. This fungal infection typically thrives in moist, warm environments. Not wearing the proper footwear in locations such as gyms, locker rooms, public swimming pools, and communal showers may increase your risk of getting this fungal infection. There are certain symptoms that are commonly associated with this condition. These may include itchy blisters on the feet, dry skin on the soles or sides of the feet, a stinging or burning sensation between the toes, and cracking or peeling of the skin between the toes. Some patients have found antifungal powder to be helpful in trying to relieve these symptoms. For a proper diagnosis and advised plan of treatment, it’s suggested that you consult with a podiatrist.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Derek T. Pantiel from Summit Podiatry.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

If you have any questions please feel free to contact one of our offices located in Wilmington, Whiteville, and Burgaw, NC. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Deal with Athlete's Foot
Monday, 18 May 2020 00:00

How to Deal with Athlete's Foot

Athlete’s foot is a type of fungal infection that affects the skin on the feet. It is caused when the tinea fungus grows on the foot. It is possible to catch the fungus through direct contact with someone who has it or by touching a surface that is contaminated with it. This type of fungus thrives in warm, moist environments such as showers, locker room floors, and swimming pools. Your risk of getting it may also increase by wearing tight-fitting, closed-toe shoes, or by having sweaty feet.

Symptoms of athlete’s foot include itching, stinging or burning sensations between the toes. You may also experience toenails that are discolored, thick, crumbly, or toenails that pull away from the nail bed.

Your podiatrist may diagnose athlete’s foot by detecting these symptoms or by doing a skin test to see if there is a fungal infection present. The most common exam used to detect Athlete’s foot is a skin lesion potassium hydroxide exam. To use this method, your doctor will scrape off a small area of the infected skin and place it into potassium hydroxide. The potassium hydroxide will destroy the normal cells and leave the fungal cells untouched so that they are visible under a microscope.

There are a variety of treatment options for athlete’s foot. Some medications are miconazole (Desenex), terbinafine (Lamisil AT), clotrimazole (Lotrimin AF), butenafine (Lotrimin Ultra), and tolnaftate (Tinactin). While these options may be able to treat your fungus, it is best that you consult with a podiatrist in order to see which treatment option may work best for you.

In some cases, Athlete’s foot may lead to complications. A severe complication would be a secondary bacterial infection which may cause your foot to become swollen, painful, and hot.

There are ways that you can prevent athlete’s foot. Washing your feet with soap and water each day and drying them thoroughly is an effective way to prevent infections. You also shouldn’t share socks, shoes, or towels with other people. It is crucial that you wear shower sandals in public showers, around swimming pools, and in other public places. Additionally, you should make sure you wear shoes that can breathe and change your socks when your feet become sweaty. If you suspect that you have Athlete’s foot, you should seek help from a podiatrist as soon as possible.

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Monday, 11 May 2020 00:00

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Monday, 11 May 2020 00:00

What Causes an Ingrown Toenail?

Toenails that grow into the surrounding skin of the nail bed are referred to as ingrown toenails. This foot condition is known to be incredibly painful and can cause redness and swelling to the toe. In severe cases, some patients may experience a discharge coming from the impacted toe, which is often indicative of an infection. There are several different reasons why an ingrown toenail may develop. Common causes for an ingrown toenail may include tightly fitted footwear, injury to the toe, improper toenail trimming, unusual toenail curvature, and genetic factors. If you believe you have developed an ingrown toenail, it is suggested you speak with a podiatrist to determine the best plan of treatment for you.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Derek T. Pantiel of Summit Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact one of our offices located in Wilmington, Whiteville, and Burgaw, NC. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 04 May 2020 00:00

PRP Injections in the Feet

Platelets are cells in the blood that help form clots to stop bleeding. PRP (Platelet-rich plasma) utilizes an individual’s own concentrated platelets, which has many growth factors. These growth factors are used to heal injuries and relieve symptoms. At times, PRP may eliminate the need for other medications or surgery. Many famous athletes such as Tiger Woods and Rafael Nadal have used PRP injections and experienced success.

PRP can be created in approximately 25-30 minutes. The process starts with drawing a small amount of blood from the patient, and then placing it into a centrifuge. A centrifuge is a machine that spins the blood at a high speed to separate the red blood cells from the concentrated platelets. The concentrated platelet rich plasma is the PRP that is used in the treatment process.

This regenerative treatment can treat many different types of ailments. Chronic tendon injuries, acute ligament and muscle injuries, and fractures may be treated with PRP. PRP works by being injected into the injured area. If someone has Achilles tendonitis, the PRP will be mixed with an anesthetic and this combination can be injected directly into the inflamed tissue. The pain may be more severe after the first week or two, and it may take several weeks for the patient to experience improvement.

In some cases, PRP may be used along with surgery to improve healing. For example, if someone with a torn heel cord requires surgery, the healing process may be expedited by treating the injured area with PRP during surgery. However, this must be done in a specific way in which the PRP is stitched into the torn tissues.

Prior to using PRP injections, you should weigh the pros and cons to decide whether this treatment is right for you. Some of the benefits are that areas of the body that have limited blood supply, such as the feet, will receive a boost in oxygen and nutrients. Another benefit is that the injections will prevent further tissue degeneration. However, there are many drawbacks to using PRP. One of the cons is that it may take several weeks for you to feel its beneficial effects. Another downside is that many insurance companies do not cover the treatment because it is experimental. The approximate cost of PRP may range from $250-$800 depending on how many injections are necessary.

There is a procedure that is referred to as platelet-rich plasma injections, which is commonly known as PRP injections. It may be an effective method of treatment for chronic foot pain. Additionally, it may help to heal foot conditions such as plantar fasciitis and Achilles tendon injuries. It is administered by extracting the patient’s blood, followed by separating the platelets by using a centrifuge machine. This machine is able to spin the blood at an accelerated speed. Growth factors are released, which can promote healing of the affected tissues, tendons, and cartilage. If you are experiencing foot or ankle pain, and would like additional information about the benefits of PRP injections, it is strongly advised that you consult with a podiatrist.

If you are suffering from a foot condition, contact Dr. Derek T. Pantiel of Summit Podiatry. Our doctor will assist you with all of your podiatric concerns.

What Is PRP?

Platelet Rich Plasma, or PRP, is blood taken from a patient and spun in a centrifuge, concentrating the amount of platelets. The plasma is then re-injected into the site of injury or damage, assisting the body in repairing damage to muscles, tendons, ligaments, and tissue. PRP helps the body speed up its healing process.

Uses of PRP

Injuries affecting the foot sometimes don’t heal properly because of poor blood circulation. The healing time slows down, and recovery time is affected by poor blood supply. PRP injections will speed up recovery and resolve this issue.

Treatment

PRP is the first regenerative treatment for damaged muscles, tendons, and ligaments. No surgery needed. It is only applied with an insertion of a needle.

Ultrasound – An ultrasound is needed for proper placement of the platelets.

Injection – When the first injection is received, the patient will return to the doctor in about 2 to 3 weeks and monitor the recovery process.

Recovery time – Some people respond to treatments differently. Therefore, depending on your condition, the doctor will make any remaining decisions on how many more injections are needed, or if any additional ones are even required.

Benefits

One may be able to avoid major surgery, and recovery time will be cut down. PRP injections also avoid creating scar tissue and damage to the area. Risks are also very low using PRP as a treatment. There is no risk of rejection, contracting a disease from using another person’s blood, or infection.

If you have any questions please feel free to contact one of our offices located in Wilmington, Whiteville, and Burgaw, NC. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about PRP Injections in the Feet
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