Foot Care Treatment in Midlothian, VA



 
Foot Care Treatment - Foot care in Midlothian, VA
 
Foot of a woman - Foot care in Midlothian, VA
 
Foot of a man - Foot care in Midlothian, VA
 
Offering effective solutions to correct problems related to foot pain, Dominion Foot and Ankle Center is here to help patients in the Midlothian, VA area find relief from foot ailments. Our podiatrist relies on over 29 years of podiatric care experience to provide quality foot care treatment for all kinds of foot problems for patients of all ages.

From corns and calluses to more serious issues involving corrective foot surgery, our podiatry clinic can help you recover from whatever is troubling your feet and make walking painless, once again. We use the latest advances in podiatric medical treatment to promote the health of your feet and bring the best results possible.

Conditions We Treat

Dominion Foot and Ankle Center addresses all manner of conditions that result in foot pain, including:
 
-Ankle Sprains
-Arch Disorders
-Athlete's Foot
-Bunions
 
-Corns and Calluses
-Hammertoes
-Heel Spurs
-Ingrown Toenails
 
-Mycotic or Fungal Toenails
-Neuromas
-Plantar Fasciitis
-Warts
 

Podiatric Treatment Services

 
-Diabetic Foot Care
-Foot Surgery
 
-Geriatric Foot Care
-Pediatric Foot Care
 
 
If you or a member of your family is dealing with foot pain resulting from podiatric disorders, call Dominion Foot and Ankle Center today at 804-378-1818 to schedule a foot care appointment.
 

Treatment Information

Bunions

Bunions are defined as a positional or structural deformity of the big toe joint, characterized by a “bump” or enlargement at the base of the big toe joints, with varying degrees of angulations of the big toe toward the little toe as the deformity progresses. With progression of the deformity, the big toe joint deteriorates and the patient forms osteoarthritis (aka Degenerative Joint Disease) of the joint.
Cause of Bunions
 
  • Heredity
  • Faulty Biomechanics causing flat footedness
  • Trauma
 
  • Ligamentous laxity (double jointedness)
  • Osteoarthritis, Rheumatoid Arthritis
 
*** Shoes do not cause bunions, wearing a narrow shoe however will aggravate an already existing bunion***
Conservative Treatment: 3 Goals
  • Prevent Progression of the deformity. This done by recommending a patient wear prescription orthotic device, which is custom made shoe inserts to control the patient's biomechanics.
  • Protect bunion bump from irritation and possible bursitis with properly fitting shoes and non-medicated padding techniques.
  • Prevent lateral drift (toward little toe) of big toes. This can be accomplished with orthotics and bunion splints.
Surgical Bunion Treatment
  • When conservative treatment fails or just doesn't provide enough comfort for the patients, surgery is recommended.
  • The procedure chosen by the surgeon will depend on such things as the severity of the deformity, age and activity of the patient and condition of bone and soft tissues around bunion joint.
  • A simple bunion (positional deformity) may only require removal of the bump and balancing of joint capsule and tendons. The patient is usually in a surgical shoe and sterile dressings for 3 weeks and is ambulatory in the surgical shoe immediately after surgery.
  • A moderate to severe bunion (structural deformity) usually requires the cutting of bone (osteotomy) with some form of fixation such as screws, wire, pin etc.
  • Depending on the procedure chosen and severity of deformity the patient maybe in a surgical shoe or cost for up to six weeks.
 

Hammertoes

The term “Hammertoes” is used to describe a toe that is bent or buckled. This may occur in any one or more of the toe joints i.e., end, middle or metatarsal joint in the ball of the foot.
Hammertoe Classification
 
  • Flexible – can be manipulated straight
 
  • Rigid – cannot be manipulated straight
 
Conservative Treatment
 
  • Supportive and roomy shoes with wide toe box
 
  • Toe – cushion, non-medicated such as moleskin or tubefoam
 
Surgical Hammertoe Treatment
  • Flexible Hammertoe – Arthroplasty (removal of small portion of bone in toe to allow it to relax & straighten) with or without implant.
  • Rigid Hammertoe – Arthrodesis – fusion of deformed joints to hold toe straight.
 

Corns & Calluses

Corns and Calluses are thickened areasof dead skin cells formed to protect the skin from excessive pressure. As the layer of dead skin cell builds up, they can become painful and may cause bursitis in the underlying skin.

Corns usually form on the toes and calluses on the soles of the feet over bony prominences; but both can occur in either place. Soft corns appear between the toes and are caused by the absorption of too much moisture.
Treatment of Corns & Calluses
Never try to cut corns or calluses yourself. Use moleskin or non-medicated corn pads. See a podiatrist. He or she may recommend:
 
  • Orthotics
  • Trimming and padding
 
  • Surgery to remove pressure from underlying bone
 
 

Warts

A plantar wart is a viral infection of the skin, usually occurring under a weight bearing area such as the ball of the foot or heel but may occur anywhere. They may appear as spongy grey or brown areas with black pin points in the center and they are usually covered by callus. The one thing all plantar warts have in common is that they are very painful when squeezed. Plantar warts may occur singly (solitary wart) or in clustered groups (mosaic wart).
Treatment
Plantar warts are precarious little fellows and may disappear over night. In most instances, however, they require the professional help of a podiatrist. It is not recommended that patients use over the counter wart preparations by themselves especially if they are diabetic.

Treatment options your podiatrist may offer are:
 
  • Salicylic Acid Treatment – this may take 6 to 8 weeks to work.
  • Surgical or Laser Excision of solitary warts.
 
Cryosurgery – using liquid nitrogen to freeze the warts.
 
 

Neuromas

The term neuroma refers to an enlarged or thickened (i.e. Perineural Fibrosis) nerve.
The most common neuroma seen in the foot is “Morton's Neuroma,” which is shown as a thickening of the medial plantar nerve. It most frequently occurs in the 3rd intermetatarsal space but may also occur in the 2nd. It occurs from the nerve being compressed between metatarsal bones.
Symptoms
 
  • Numbness & tingling into adjacent toes
  • Feels like you are stepping on a pebble
 
  • Pain in ball of foot
 
Treatment
  • Surgery – involves removing or excision of the thickened portion of the nerve. This will leave the patient with permanent numbness in the area where the neuroma is removed and between the two affected toes. This is usually preferred over pain.
  • Sclerosing Injection – the neuroma is injected with a series of injections made up of Ethyl Alcohol and local anesthetic which destroy the neuroma; this also leaves the patient with permanent numbness in the area of neuroma and between the toes.
 

Plantar Fasciitis & Heel Spurs

Plantar Fasciitis is one of the most common foot disorders a podiatrist sees and treats. The plantar fascia is a fibrous tissue band on the bottom of the foot that attaches from the base of the toes to the bottom of the heel bone. It is a very important structure for normal foot biomechanics, because it helps maintain and support the arch of the foot.
Symptoms
  • The most common symptoms are severe heel pain when first stepping out of bed in the morning. People liken it a “Stone Bruise”. The reason for this is that the plantar fascia contracts or gets shorter at night as we sleep.
  • Symptoms usually get worse with increased activity especially on hard surfaces and wearing poorly supportive shoes.
  • Our patients also tell us that the heel can hurt with no activity. You may be just sitting in your office or driving your car when the heel or arch will start to throb.
  • Plantar Fasciitis is therefore an overuse injury where the plantar fascia becomes inflamed, tight or partially torn.
  • As the condition becomes chronic a “hooked like” calcium deposit will form at the bottom of the heel bone, this is known as a “Heel Spur”
  • Heel Spurs by themselves may or may not be painful.
Conservative Treatment
  • Stretching Exercises for plantar fascia
  • Orthtics – there are custom made supports for your feet worn in your shoe that can correct and improve your biomechanics.
  • Plantar Fascia Night Splint – Keeps plantar fascia under constant tension while you sleep.
  • Physical Therapy alternating cold and moist warm heat. NB Diabetics, people with sensitive skin or poor circulation should first consult with their podiatrist or primary care doctor before using physical therapy.
  • Supportive Shoes such as SAS, Rockport, Dexter etc.
  • Treatment by Podiatrist
    • NSAID (Non Steroidal Anti-inflammatory Drugs) such as ibuprofen, naprosen etc. should only be used under the supervision of your treating doctor.
    • Cortisone Injections – are very beneficial for acute plantar fasciitis and can often give 2-3 months of pain relief.
    • Casting and non-weight bearing on the affected foot for up to 6 weeks may help break pain cycle.
    • Surgery: Heel surgery is an out-patient procedure involving releasing the plantar fascia from the heel bone and removing the heel spur if present.

    Post-op patients must be non-weight bearing in a surgical shoe and sterile dressing for 3 weeks.
     

    Mycotic (Fungal) Toenails

    Fungal (Mycotic) toenails is usually occurring in a person who has chronic Tinea Pedis (Athletes Foot) that has gone untreated. Once the toenail is infected, it is difficult to treat without professional help.

    Fungal toenails present as thickened, discolored and brittle nails and may initially appear as a cosmetic problem and isn't painful. But as time progresses and the toenails get thicker if the fungal infection is ignored, the infection can spread to other toenails and become very painful, impairing a person's ability to walk.
    Treatment
    Over the counter preparations don't work; see your podiatrist, he or she may recommend a course of anoral antifungal in combination with a topical area gel or some other topical antifungal preparation.
     

    Ingrown Toenail

    An ingrown toenail occurs when the sides of the nail curves down and grows into the skin. This can make it painful to wear shoes and lead to infection. Ingrown toenails most often occur in the big toe.
    Cause of Ingrown Toenails
    • Improper Trimming – Toenails should be cut straight across, not curved at the corners.
    • Poorly Fitting Shoes & Socks – Shoes & socks that are too tight can crowd toes and put pressure on toenails.
    • Heredity – Ingrown toenail problems can run in families.
    Treatment
    Do not try over the counter preparations or bathroom surgery to treat an ingrown toenail. The least painful and quickest way to treat the problem is to see your podiatrist. He or she can offer solutions that are quick, easy and keep you on your feet.
     

    Diabetic Foot Care

    There are over 17 million diabetic Americans, with 980,000 new cases diagnosed each year. There has been a 49% increase in the U.S. from 1990 – 2002 (Adult Type II). There has been an increased number of children due to physical inactivity and obesity. Diabetes is more prevalent in certain subpopulations such as African, Hispanic and Native Americans.
    Definition
    Diabetes is defined as a metabolic disorder resulting in high levels of blood glucose due to a defect in insulin secretion by the pancreas, insulin action on the cellular level or both.
    Classification
    • Type I – aka- Insulin Dependent Diabetes Mellitus (IDDM) or Juvenile Diabetes. These are children and young adults who produce no insulin. Makes up 5-10% of Diabetics.
    • Type II – aka Non Insulin Dependent Diabetes Mellitus (NIDDM) or Adult onset Diabetes Mellitus. Usually occurs after 40 years, but is being seen in younger people and children due to obesity. Accounts for 90 – 95% of Diabetics. They don't produce enough insulin or the body fails to properly use it.
    • Gestational/Diabetes – 5% of all pregnancies puts mothers at 63% increased risk of developing Type II Diabetes.
    Signs & Symptoms of Diabetes:
     
    • Increase Thirst
    • Increase Hunger
    • Increase Urination
    • Weight Loss
     
    • Fatigue
    • Blurred Vision
    • Frequent Infections
    • Slow Healing Wounds
     
    What To Look Out For:
    One half of amputations done each year are on diabetics; they are 15-40 times more at risk of amputation. Over 56,200 foot and leg amputations are performed yearly in the U.S. Therefore daily self examination of the feet for cuts, scratch or breaks in the skin is important. Other things to look for are:

    • Changes in color of skin on feet
    • Changes in temperature of skin on feet
    • Pain in legs at rest or walking
    • Swelling of foot or ankle
    • Open sores slow to heal
    • Ingrown or Fungus infected toenails
    • Corn and calluses that bleed within skin
    • Cracks in skin, especially heel
    • Changes in sensation i.e. numbness, tingling pain, burning or loss of sensation.
    Prevention
    • Examine feet daily
    • Wash feet daily with mild soap and warm water. Dry between toes thoroughly
    • Use a mild lubricant on your feet to prevent skin drying and cracking
    • Powder feel & shoes after bathing
    • Keep feet warm, always wear clean socks each day, cotton not synthetic.
    • Never go barefoot; wear socks or slippers around the house.
    • Make sure shoes are without prominent or torn linings, raised nails or foreign objects that my irritate skin.
    • Cut toenails straight across. If toenails are thick or you have visual problems see your podiatrist.
    • Regular visits to your podiatrist are a diabetic's best chance for achieving maximum foot protection and function.
     
    If you or a member of your family is dealing with foot pain resulting from podiatric disorders, call Dominion Foot and Ankle Center today at 804-378-1818 to schedule a foot care appointment.