February 2021

A toenail that has turned black, whether suddenly or gradually, can be an alarming sight. Sometimes, a toenail may turn black following repetitive injuries to the nail. In many cases, the nail can grow out naturally, but in more severe cases when the nail begins to lift off of the nail bed, medical attention will be required. A one-time blunt force injury, like dropping a heavy piece of furniture on your toes, can also turn your toenail black and often causes pain and swelling. Fungal nail infections typically cause toenails to turn white or yellow, but as debris builds up near the infection, the toenail can also turn black. Natural changes in pigmentation that can occur with age may turn the nails darker in people with darker skin. Other potential causes of black toenails include melanoma, and underlying medical conditions such as diabetes, kidney disease, heart disease, and anemia. If you notice a change in the color of your toenails, it is suggested that you seek the care of a podiatrist.

For more information about treatment, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

The outer side of the foot is generally where pain from cuboid syndrome is felt. It develops as a result of a displaced cuboid bone, and can happen for several reasons. These can include having weak tendons in the feet, wearing shoes that do not have adequate room for the toes to move freely in, or conditions such as flat feet or high arches. This bone is located between the pinky toe and the heel, and repetitive force may shift the bone out of alignment. Common symptoms many patients feel can consist of swelling on the outside of the foot, pain while standing or walking, and pain and discomfort may extend to the sole of the foot. There are stretches that can be practiced that may help to alleviate the pain. It is suggested that you consult with a podiatrist who can help you to manage cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

Cinderella surgery is a type of foot surgery that has become popular in recent years. This type of surgery can be attractive to women who want to reshape their feet. It involves shaving down bunions and changing the length of the toes which can make it easier to wear high heels. This procedure may be useful in eliminating existing chronic pain that can come from wearing specific types of shoes. Many women choose to have a foot tuck performed, which may be done at the same time as the Cinderella surgery. This is accomplished by injecting fat into the bottom of the feet, which may be beneficial in eliminating a portion of everyday foot pain. If you have a bunion that is causing pain and discomfort, and are interested in contouring the size and shape of your foot, it is suggested that you seek a consultation with a podiatrist who can determine if this is the correct course of treatment for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Steven Spivak, DPM of Mount Holly Family Footcare. 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 office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Falling can be a devastating experience and may cause pain and discomfort. For people who are over sixty-five years of age, falling can hinder their health and independence. Injuries such as broken toes and ankles can be common if falling occurs. There are methods that can be implemented that can help to prevent falling. These tips may include improving the lighting in the household, in addition to having existing medications reviewed by having regular examinations. It can be beneficial to perform stretching and toning exercises in order to help maintain strength in the body. Many patients find falling episodes can be reduced when grab bars are installed in the shower and the toilet area, and bath mats are used while bathing. If you would like more information about how falling can affect the feet, and would like to learn more about preventative methods, please consult with a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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