If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
We are OPEN and following CDC Guidelines
We are available for Telemedicine calls if necessary. Please call the office to request.

David E. Samuel, DPM

August 2021

Tuesday, 31 August 2021 00:00

Defining an Ingrown Toenail

An ingrown toenail may develop when the toenail grows into the skin instead of over it. It generally occurs in the big toe, and it can cause severe pain and discomfort. General cause of this condition can include enduring a toe injury or from cutting the toenails incorrectly. Additionally, many patients may develop ingrown toenails from wearing shoes that do not fit correctly. Common symptoms that many patients experience include swelling and redness surrounding the affected toe as well as a discharge with ingrown toenails that are infected. There are various forms of treatment for an ingrown toenail, and patients who have one should consult with a podiatrist who can help find the correct treatment for their situation.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact David E. Samuel, DPM of Foot & Ankle Specialists of Delaware County. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Springfield, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenail Care

If you have rheumatoid arthritis, you may be experiencing joint pain and stiffness in your feet. Gentle exercises can help reduce foot pain for people dealing with this condition. One simple exercise that you can try is rolling a stress ball with your foot so that the ball is underneath the front part of your heel. This helps stretch the plantar fascia, a ligament that runs along the bottom of your foot and supports your arches. You can do this exercise while sitting or standing. To learn more about how to take care of your feet with a diagnosis of rheumatoid arthritis, and to learn more about helpful exercises you can practice, please consult with a podiatrist. 

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact David E. Samuel, DPM of Foot & Ankle Specialists of Delaware County. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact our office located in Springfield, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Rheumatoid Arthritis in the Feet
Tuesday, 17 August 2021 00:00

Sever’s Disease 101

Sever’s disease is an injury that causes pain in the back of the heel in patients between the ages of 8 and 15. this condition may be a result of a growth spurt when the muscles and tendons in the calves can not keep up with the growth rate of the bones. The tight muscles put more stress on the Achilles tendon particularly where it attaches to the heel bone. Sever’s disease is most common in active adolescents who do a lot of sports training or physical activity. The most common sign is pain in the back of the heel, but other signs of Sever’s disease include worsening pain with physical activity and pain that gets worse throughout the day. If your child is complaining about pain in their heels, consulting with a podiatrist for a proper diagnosis and treatment is suggested.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see David E. Samuel, DPM from Foot & Ankle Specialists of Delaware County. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Springfield, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever's Disease

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Wednesday, 11 August 2021 00:00

Signs of Plantar Fasciitis

Plantar fasciitis is one of the most leading causes of heel pain. It can occur when the plantar fascia, the band of tissues that run along the bottom of the foot connecting the heel to the toes, becomes inflamed or torn. Plantar fasciitis may result in a sharp or dull pain at the bottom of the foot near the heel that is most severe in the morning. Pain may also intensify after carrying weight and cause the heel to swell. There are a variety of factors that can contribute to plantar fasciitis that include excessive training, rapid weight gain, a change in activity, tight calf muscles, improper footwear, and flat feet. Patients who are suffering with heel pain and think they may have plantar fasciitis should consult with a podiatrist for a proper diagnosis.  

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact David E. Samuel, DPM from Foot & Ankle Specialists of Delaware County. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our office located in Springfield, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Plantar Fasciitis
Tuesday, 03 August 2021 00:00

Swollen Feet Throughout Pregnancy

Swelling of the feet and ankles during pregnancy is very common and can occur throughout the entire pregnancy. During the first trimester, swelling in the feet is typically minimal and excessive swelling should be examined by a doctor. In the second trimester, swelling in the feet increases significantly. This is due to an increased volume of blood and fluids throughout the body, as well as hormonal fluid retention. These fluids tend to pool in the lower limbs. The third trimester is when swollen feet are most common. Swelling can be made worse by hot weather, dietary imbalances, caffeine intake, dehydration, and standing or walking for prolonged periods of time. To learn more about the effects of pregnancy on the feet and ankles and how to manage them, please consult with a podiatrist.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with David E. Samuel, DPM from Foot & Ankle Specialists of Delaware County. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our office located in Springfield, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Pregnancy and Foot Health
Connect with us