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Posts for: October, 2014

October 23, 2014
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Unlike the skin on the rest of the body, the skin on our feet is naturally dry. It has no oil glands, so it relies on the sweat glands to keep our feet moisturized. The skin can become itchy, scaly, and overly caloused for people who do not properly moisturize their feet on a regular basis, or who have a medical condition such as diabetes, psoriasis, or athlete's foot.

Avoid these common misconceptions to help the skin on your feet be as happy and moisturized as possibe:

  • Don't wear sandals. The skin becomes drier and more calloused when not enclosed by socks and shoes to hold in the moisture.
  • Don't soak your feet. Soaking actully dries feet out!
  • Don't pull the skin. Scrubbing too much and peeling the skin off builds up calloused skin quicker than just leaving it alone.
  • Don't bathe your feet in Vaseline. It just makes the skin greasy - it is more beneficial to apply lotion once a day. A keratolytic may be used on the thick calluses to help break them down.

Click here or call our office at 615-452-8899 to schedule your appointment with Dr. Mendoza today!

October 17, 2014
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Pre-dislocation syndrome of the second digit, also known as "crossover toe", is a condition in which the second toe drifts toward the big toe and eventually crosses over and lies on top of the big toe. It is a progressive disorder that can begin at any age, but is most often seen in adults.

Although the crossing over of the toe usually occurs over a period of time itcan appear more quickly if caused by injury. Symptoms inclue: pain in the ball of the foot, or feeling like there is a marble in the shoe or a sock is bunched up. There can be swelling at the base of the second toe, and some may have difficulty wearing certin shoes.

Crossover toe is a result of abnormal foot mechanics, where the ball of the foot beneath the second toe joint takes an excessive amount of weight-bearing. This pressure eventually leads to weakening of the supportive ligaments and a failure of the joint to stabilize the toe, resulting in the toe crossing over. Certain foot abnormalities can make a person prone to experiencing excessive pressure on the ball of the foot, including: a severe bunion defomity, a second toe longer than the big toe, and an arch that is structurally unstable.

This condition is sometimes misdiagnosed, especially in the early stages when there is pain but the toe has not yet crossed over. The pain experienced mimics a Morton's neuroma, but the two disorders are treated very differently - making it crucial to obtain an accurate diagnosis. Rest, ice, and oral anti-infalmmatories may help relieve pain and inflammation. Immobilization, taping, or splinting may be necessary to prevent further drifting of the toe. Custom orthotics help stabilize the arch, and adding a metatarsal pad helps distribute the weight away from the joint. Surgical correction is an option if the deformity becomes severe and conservative treatments are not working.

Click here or call our office at 615-452-8899 to schedule your appointment with Dr. Mendoza to develop the best treatment plan for you!

October 09, 2014
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Diabetic neuropathy is nerve damage caused by diabetes. The type of neuropathy occurring in the arms, hands, legs, and feet is known as diabetic peripheral neuropathy. It usually develops slowly and worsens over time; some patients have this condition long before they are diagnosed with diabetes. Having diabetes for several years may increase the likelihood of having diabetic neuropathy.

The loss of sensation makes a patient prone to developing skin ulcers that can become infected and may not heal. This serious complication of diabetes can lead to loss of a foot or even a leg. Signs and symptoms of diabetic peripheral neuropathy include: numbness, burning, tingling, or pain in the feet. Not only is it unpleasant, but because of the numbness a patient may not realize that they have stepped on a small object and cut the skin or have developed an ulcer.

First and foremost, treatment of diabetic peripheral neuropathy centers on control of the patient’s blood sugar level. Medications and specific vitamins are also available to help relieve some of the symptoms. 

Call our office at 615-452-8899 or click here to schedule your appointment with Dr. Mendoza today!