Calluses and corns on the feet are skin conditions that develop as a protective response to prolonged friction and pressure. Although they might appear similar, there are key differences between them. Calluses are broad, evenly thickened areas of skin that typically form on the soles of the feet. They can arise from activities that place repeated stress on this area, such as walking or running in poorly fitting shoes. Calluses have a hard, yellowish appearance and can cause discomfort or pain, making it difficult to walk. In contrast, corns are smaller, more concentrated areas of thickened skin, usually found on the tops and sides of toes. They develop due to the pressure and friction from wearing tight or ill-fitting shoes. Corns feature a dense, central core and can be either hard or soft. Hard corns appear on the bony parts of the toes, while soft corns develop between the toes where moisture keeps them pliable. Both corns and calluses can cause significant pain and discomfort and can lead to infection if not properly managed. Persistent or painful corns and calluses may warrant medical attention. If corns or calluses on your feet are causing you discomfort, it is suggested that you schedule an appointment with a podiatrist for targeted treatment. 

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

• Wearing properly fitting shoes that have been measured by a professional
• Wearing shoes that are not sharply pointed or have high heels
• Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Corns on the Feet

A corn is a lesion that forms in the skin of the foot, and it is typically circular in shape, small in size, and thick and rough in texture.  A corn generally occurs as a result of repeated pressure on the skin; one example of this is the rubbing of a shoe against the skin.  Corns differ from calluses in that their central cores are harder in texture.

A corn is a relatively common condition with a wide variety of treatment options.  If a corn becomes overly uncomfortable or painful, consult with your podiatrist; he can determine the best method of treatment that is appropriate for you.  Corns may return if the underlying cause of its development is not treated or removed.  Avoid removing corns at home, as improper removal may cause infection.

A callus, similar to a corn, is an area of skin that has become thickened due to repeated pressure and rubbing.  The rubbing causes the skin to create a layer of protective skin, which is the formed callus.  Calluses can differ in size between people, and they can also become painful.

Multiple treatments are available for calluses.  At-home treatment and removal should be avoided, as this can potentially lead to infection.  Your podiatrist can best determine the cause of your calluses and suggest the treatment most appropriate for you. 

As we age, our bodies undergo various changes, and the feet are often affected. Elderly individuals usually experience common foot ailments that can significantly impact their mobility and quality of life. Among these ailments are bunions, which are painful bony bumps that form at the base of the big toe, often causing discomfort and difficulty in wearing shoes. Another prevalent issue is plantar fasciitis, characterized by inflammation of the tissue that runs across the bottom of the foot, leading to heel pain, especially with the first steps in the morning. Additionally, corns and calluses frequently develop due to friction and pressure, causing thickened and hardened areas of skin that can be painful to walk on. It is vital for elderly individuals to seek proper care and treatment for these foot ailments to alleviate discomfort and maintain their mobility and independence for as long as possible. If you are elderly and have developed foot pain or specific foot conditions, it is suggested that you confer with a podiatrist who can offer you relief options, in addition to guiding you on exceptional foot care practices.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Elderly Foot Care

As you grow older, you will start to notice more problems with your feet due to wear and tear. This may also happen because the skin will start to become thin and lose elasticity. Some signs of aging feet are regular aches and pains, bunion development, and clawed toes.

Fortunately, there are ways you can improve comfort, relieve pain, and maintain mobility in your feet. One of the best ways to deal with aging feet is to exercise. If you keep active, your muscles will become toned which will then strengthen the arches in the foot and stimulate blood circulation.

It is important that you practice proper foot care to protect your aging feet. You should wash your feet in warm water on an everyday basis. Afterward, the feet need to be dried well and it is important to dry between the toes. Your toenails should be trimmed and kept under control; nails that are poorly cut may become ingrown. At the end of each day, performing an inspection of your feet will allow you to detect any ailments in their early stages.

As you grow older, it becomes more important that you wear comfortable shoes. Your shoes should be secure, and they should provide decent arch support. If you are looking to buy a new pair of shoes, it is best to look for a pair that are made from a breathable material. It is also helpful to have shoes that have a bit of extra room at the top of the shoe, especially if you suffer from swollen feet.

The most common foot problems that elderly people will encounter are bunions, calluses, corns, hammertoes, heel pain, and foot problems related to diabetes. Some other issues include arch pain, tarsal tunnel syndrome, Achilles tendonitis, and Morton’s neuroma

An annual foot examination is a great way for you to ensure that you do not have any serious health problems with your feet. You should talk to a podiatrist about the available treatment options for whichever foot issue you are dealing with.

Peripheral neuropathy, a complication of diabetes, occurs when high levels of fats or sugar in the blood damage nerves throughout the body, particularly in the extremities like the feet and hands. Symptoms include numbness, tingling, pain, and loss of sensation in these areas. Peripheral neuropathy often progresses gradually and can be unnoticed until its more advanced stages. Diagnosis involves a thorough physical examination by a podiatrist to assess reflexes, sensation loss, and skin changes. Additional tests like electromyograms, EMG, or nerve conduction velocity tests, abbreviated NCV, may be required for confirmation. While there is no cure for peripheral neuropathy, managing blood sugar levels is the best way to slow its progression. Treatment focuses on alleviating symptoms and preventing complications, such as ulcers. It is important to seek care from a podiatrist, a doctor who specializes in foot and ankle health, for comprehensive management of peripheral neuropathy. To help maintain mobility and prevent complications like ulcers and amputations, it is suggested that you include a podiatrist in your medical team.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions please feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Neuropathy

Neuropathy is the weakness, numbness, and pain in the hands and feet due to damage to the peripheral nerves. The peripheral nerves are responsible for sending information from the brain and spinal cord to the rest of your body. Causes of Neuropathy include: traumatic injuries, infections, metabolic problems, exposure to toxins, and diabetes.

Diabetes is the most common cause, with more than half of the diabetic population developing some type of neuropathy. There are several types of neuropathy and they vary based on the damage of the nerves. Mononeuropathy is classified as only one nerve being damaged. When multiple nerves are affected, it is referred as polyneuropathy. One of the types of polyneuropathy is distal symmetric polyneuropathy. It is the most common for people with diabetes and starts when the nerves furthest away from the central nervous begin to malfunction. The symptoms begin with pain and numbness in the feet and then they travel up to the legs. A rarer form of polyneuropathy is acute symmetrical peripheral neuropathy, which is a severe type that affects nerves throughout the body and is highly associated with Guillain-Barre syndrome, an autoimmune disorder that attacks the peripheral nervous system and can be fatal. Although there are many types of neuropathy, most of them share the same symptoms such as pain, extreme sensitivity to touch, lack of coordination, muscle weakness, dizziness, and digestive problems. Since neuropathy affects the nerves, those affected should be careful of burns, infection and falling, as depleted sensations disguise such ailments.

The best way to prevent neuropathy is to manage any medical conditions such as diabetes, alcoholism, or rheumatoid arthritis. Creating and managing a healthy lifestyle can also go a long way. Having a healthy diet full of fruits, vegetables, whole grains and lean protein can keep the nerves healthy. These types of food have the nutrients to prevent neuropathy. Regularly exercising can help as well, but it is best to consult with a doctor about the right amount. In addition to diet and exercise, avoiding risk factors will also prevent neuropathy. This includes repetitive motions, cramped positions, exposure to toxic chemicals, smoking and overindulging on alcohol.

Heel spur surgery stands as a significant decision for those grappling with persistent heel pain. Understanding the procedure's intricacies unveils vital insights. The surgery involves excising the bony protrusion from the heel bone, often performed under local or general anesthesia. It typically necessitates a recovery period, during which mobility may be limited, demanding patience and adherence to post-operative instructions. Complications such as infection or nerve damage, though rare, underscore the importance of meticulous post-operative care. The decision to undergo surgery hinges on various factors, including the severity of symptoms and the efficacy of non-surgical interventions. Consulting with a podiatrist is essential for informed decision-making, as they can provide tailored guidance based on individual circumstances. While heel spur surgery offers relief for many, it is important to approach it with a thorough understanding of the process, potential outcomes, and commitment to recovery. If you have a heel spur that is causing pain, it is strongly suggested that you confer with a podiatrist who can determine if heel spur surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries. 

Plantar fibroma is a condition where a benign lump forms within the plantar fascia, the band of tissue that runs along the bottom of the foot. This lump is made up of connective tissue and is usually located in the arch of the foot. It can cause discomfort or pain as pressure is applied to the area, especially when standing or walking. Diagnosing a plantar fibroma typically involves a physical examination from a podiatrist, or foot doctor. The podiatrist may feel the lump in the foot's arch and might confirm the diagnosis through imaging tests, such as ultrasound or MRI. These tests help to visualize the fibroma's size and exact location within the plantar fascia to ensure it is not something else. Early diagnosis and treatment are important to manage symptoms and prevent the fibroma from worsening. If you have a lump in the arch of the foot, it is suggested that you promptly schedule an appointment with a podiatrist for diagnosis. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Plantar Fibroma

A plantar fibroma is a knot in the arch of the foot. It can cause pain when repeated pressure is applied by walking barefoot or wearing tight shoes. While plantar fibromas can appear in anyone, men who are middle-aged or older are said to be more susceptible. The main symptom of a plantar fibroma is a firm lump on the arch of the foot. If there is pain, it can be intensified by putting pressure on the nodule. The lump can stay one size or grow larger. You may have one or more fibromas in the feet and there tends to be a high incidence of recurring plantar fibromas.  Generally, a plantar fibroma can be treated without surgery. Treatment might include steroid injections to help shrink the lump, orthotics to help redistribute weight away from the nodule, plantar fascia stretching, or physical therapy to help use anti-inflammatory medication on the lump. If a lump grows larger or more painful, a podiatrist can be consulted to confirm the diagnosis. The doctor will palpate the lump and this may cause pain that can be felt all the way to the toes. An X-ray, MRI, or biopsy might be done if further evaluation is necessary. A lump in the arch of the foot might be something other than a plantar fibroma, such as cysts, nerve or fatty tumors, swollen tendons, or an infection in the foot. It is important to see a podiatrist for proper diagnosis and treatment of plantar fibromas.