Plantar warts are benign growths that develop on the bottom of your feet, and are caused by direct contact with the human papilloma virus (HPV). This is the same virus that causes warts on other areas of the body. Some people are more susceptible than others to HPV, and not everyone will develop plantar warts if they come into contact with the virus. Individuals with weak immune systems or damaged skin on the feet are at a higher risk for plantar warts.
Plantar warts most often develop on the weight-bearing areas of the foot - the heel or the ball of the foot - causing sharp, burning pain. They can appear as a single wart (solitary) or a cluster of warts (mosaic). Common symptoms may include:
- Pain or discomfort when walking or standing
- Thick, scaly skin that often resembles a callus
- Hard, flat growths with well-defined boundaries
- Tiny black specks (clotted blood vessels) that often appear on the surface of the wart
Most warts disappear with home care and do not require medical treatment. You can take steps to prevent and treat plantar warts, which include:
- Changing your shoes and socks daily
- Keeping your feet clean and dry
- Avoid picking at warts as the virus may spread
- Avoid direct contact with an individual who has plantar warts
- Checking your child's feet periodically
- Refrain from walking barefoot, especially in public areas like showers, swimming pools and locker rooms
- Never ignore skin growths or changes in your skin
You should always seek care from a podiatrist when warts interfere with your daily life, aren't responding to home treatments, or if you have circulatory disorders. Contact us if your warts:
- Change color or shape
- Cause unbearable pain and discomfort
- Interfere with activities
- Multiply or reappear
Without treatment, plantar warts can grow, spread and prompt new warts to grow as fast as the old ones disappear. If you can't confidently identify a growth on your foot, visit your podiatrist to ensure a correct diagnosis. Early diagnosis and treatment can decrease the risk of the wart spreading and multiplying.
Heel pain is most often caused by plantar fasciitis, an inflammation of the long, dense band of connective tissue (the plantar fascia) that runs from the heel to the ball of the foot.
Repeated strain on the plantar fascia can cause tiny tears in the ligament. As tension and tearing increases, so does inflammation and irritation of the affected area. Risk factors of plantar fasciitis include foot arch problems (flat foot and high arches); excess weight; running; and a tight Achilles tendon.
The most common symptom of plantar fasciitis is gradually developing pain on the bottom of the heel. The pain is usually worst in the morning and after sitting or standing for a long period of time. For some, the pain subsides after walking or stretching.
To reduce pain associated with plantar fasciitis:
- Rest. Limit and/or avoid activities that make your heel hurt.
- Ice. Reduce pain and swelling by icing the affected area each day.
- Stretch. Stretch your heel throughout the day, especially when you first wake up in the morning.
- Footwear modifications. Wear shoes that provide good arch support and a cushioned sole. Ask your podiatrist about pads and shoe inserts to relieve your heel pain.
When conservative treatments aren't effective, or your pain persists for more than a few weeks, schedule an appointment to discuss your symptoms and treatment options. A podiatrist can recommend an appropriate treatment plan for your individual needs. This may include stretching exercises, shoe padding, orthotic devices, night splints or therapy. Most patients respond to non-surgical treatments, but for pain that won't go away, surgery may be required.
With proper rest and treatment, recovering from plantar fasciitis can take just a few months. Visit us when you first experience pain for a diagnosis and an appropriate treatment plan for your individual needs.
While the appearance of blisters may be embarrassing, the pain accompanying them is often much worse and more of a concern for people who have them. Although blisters are a common foot problem experienced by many, have you ever wondered what the cause of those pesky blisters could be? Or, better yet, how they can be treated?
Blisters appear on a swollen part of the foot and consist of fluid, typically clear, though, depending on the blister, the fluid may also have blood. Blisters are usually caused by repeated friction or rubbing on a specific part of your foot. Here are some examples of things that can produce that constant friction:
- The type of footwear and how properly your shoes fit
- Your skin type and foot type (high, low or medium arch)
- The moisture found around your feet
- Heavy objects you may be carrying around, like a bag pack
While blisters are rarely filled with pus, pus can form if the blister is infected. In that case, it’s important to seek treatment as soon as possible. If you have any of the following symptoms, it’s preferable to talk to your doctor:
- Foot Pain
While the symptoms may seem common, any persistent pain needs medical attention. Individuals with diabetes need to be especially careful. If left untreated, the blister may turn into an ulcer, leaving you susceptible to an amputation.
Preventive Care Treatments:
There are several precautions you can take to prevent blisters. Here are a few preventative care options:
1. Make sure to wear proper fitting shoes
2. Wear moisture-wicking socks
3. Cushioned insoles are a good idea
4. Double-socks will provide extra cushion
5. Wear orthotics recommended by your podiatrist
6. Use antiperspirants, powders, and lubricants to reduce moisture and friction.
The key to healthy feet is preventative care and referring to your foot doctor whenever you have questions or concerns.
A neuroma is a thickening of nerve tissue that can develop in various parts of your body. In the foot, the most common occurring neuroma develops at the base of the third and fourth toes. This condition is referred to as Morton's neuroma.
There are typically no physical signs of Morton's neuroma, such as a lump or a knot. Instead, symptoms may include:
- A sharp, achy or burning pain in the ball of your foot
- Numbness, tingling, or cramping in the toes or forefoot
- Feeling as if you're standing on a pebble in your shoe
While the exact cause of Morton's neuroma is unknown, the growth of the neuroma seems to occur in response to injury, pressure or irritation to one of the nerves that lead to the toes. People with foot deformities such as bunions, hammertoes and flat feet are at higher risk for developing a neuroma. Women are also more likely to develop this condition, as wearing high-heels or narrow-toed shoes can increase pressure on the toes. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running.
Morton's neuroma can make walking and performing normal activities difficult and painful. Treatment options vary with severity, and identifying the neuroma in its earliest stage of development is important to avoid more invasive treatments or surgical correction. Left untreated, neuromas tend to worsen, so it's always best to visit our office at the first sign of pain.
Early treatments aim to relieve or reduce pressure on the area around the affected toes. Depending on the severity of your neuroma, a podiatrist may recommend:
- Modifications to footwear. Wide-toed shoes relieve pressure on the neuroma.
- Shoe inserts or padding to provide support for the arch of the foot, which removes pressure from the nerve.
- Anti-inflammatory medications can help ease any pain and inflammation. Ask your doctor first.
- Icing to reduce inflammation.
- Rest to lessen repetitive pressure on the neuroma.
In the most severe cases, surgery may be recommended for patients who do not respond to conservative treatments. We can help you determine the best approach for your specific condition.
Metatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the area just before the toes, also called the metatarsal region.
Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:
- Sharp, aching or burning pain in the ball of your foot - the part of the sole just behind the toes
- Pain that intensifies when you stand, walk or run
- Pain that radiates from the balls of the feet into the toes
- Numbness or tingling in the toes
- A feeling in your feet as if you are walking with a pebble in your shoe
- Pain that increases when walking barefoot
Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:
- Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
- Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
- Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
- Excess weight. Extra weight places excess pressure on your metatarsals.
- Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.
Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.
When conservative treatments aren't effective and pain persists, visit our practice for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.
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