Beachwood 216-267-0304
Brook Park 216-267-0304
Willoughby 440-269-1488

toenail fungusToenail fungus is a condition that many people develop and suffer from. Toenail fungus often results in the discoloration and thickening of the toenail, which can cause embarrassment for many people. The condition begins as a small white or yellow growth beneath the tip of the nail and at its worse can develop into the nail’s deterioration.

Thick, ragged, and distorted nails lacking shine are a sign of toenail fungus. The color of the affected nail tends to be darker because of debris buildup underneath the nail. Toenail fungus is more likely to develop for people who wear socks and shoes that do not allow decent ventilation of the feet. Public showers, gyms, and swimming pools are breeding grounds for toenail fungus, as their damp and humid environments allow for the growth of bacteria.

Patients should visit their local podiatrist if they suspect they have toenail fungus because in its more severe stages, toenail fungus can become very painful. Other infections can develop from toenail fungus that can spread to other parts of the body. Upon examination for fungus, your podiatrist may scrape your nails if he or she finds debris. This will be sent to a lab to determine what fungus is causing the condition.

Toenail fungus can also be treated with certain over-the-counter antifungal creams and ointments. To remove pressure from the nails, keep them cut at a short length. Oral antifungal drugs, medicated nail cream, or medicated nail polish may also be prescribed by your podiatrist if simpler treatments do not prove successful. In some cases, your podiatrist may also recommend laser treatment to eradicate toenail fungus.

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diabetic footDiabetes affects millions of people every year. Blood vessels located all over the body are damaged due to diabetes—even the blood vessels of the feet. Neuropathy, or nerve damage, can result from slower blood flow in the legs and feet. In diabetic patients, neuropathy is very important to monitor, as diabetics are at risk for developing ulcers.

Always washing and thoroughly drying the feet are pertinent parts of diabetic foot care. There should be a focus on cleaning between the toes. Even if no pain is felt, the entire foot should be examined for redness and sores. Neuropathy can often mask the pain of sores and ulcers and can cause these conditions to be overlooked. Use a mirror to examine the underside of your feet if needed. It is recommended that diabetics wear well-fitting socks.

Patients with diabetes should have their doctor monitor their blood levels because blood sugar levels play a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised. It is very important to keep your blood sugar levels in the normal range, which can be determined by your physician. There are medications that may be prescribed to help with any neuropathy experienced by the diabetic patient. It is also advisable to visit a podiatrist if one is experiencing any conditions involving the feet, such as ingrown toenails, which in more severe cases can cause infection.

Diabetic feet must be inspected on a daily basis. Diabetic foot care at home is possible if a patient is provided with instructions from their podiatrist. Patients can relieve dry heels with creams or ointments. Suspected wounds should warrant an immediate call to the podiatrist. Gangrene is a serious problem for diabetics and can lead to sepsis and amputation in its worst cases. Early treatment and daily inspection of diabetic feet are keys to staying healthy.

Amniotic tissue shows great potential in expediting the recovery from injuries to the plantar fascia and soft tissue in the foot and ankle, and in helping diabetic wounds to heal. The newest of all therapy options is the use of amniotic membranes to decrease scar formation. Amniotic membrane allograft possesses anti-inflammatory properties, which does differentiate it from all of the aforementioned treatments.

Nevertheless, this innovative therapy has a profound impact on decreasing scar formation and promoting growth factors to healing tissue. The Use of Injectable Amniotic Membrane in the Treatment of Plantar Fasciitis and Other Soft Tissue Injuries of the Foot has shown significant promise in the apparent restoration and healing of injured tissue.

These clinical findings are very exciting. One patient had a complete rupture of the fascia and was treated with immobilization, orthotics, and physical therapy for almost eight months with little improvement. The patient still had significant edema and was offered surgery or an amniotic membrane injection to see if that would resolve her pain. The patient had an injection and in six weeks and had significant relief of pain. The patient tore the fascia on their other side during her recovery. The patient then had an injection on that side as well, and three months after that they returned to her running activities and continues to do well. In another case, the patient had a plantar fascia tear for which they received an amniotic membrane injection. In two months, they were nearly pain-free and had returned to her normal activity, which required her to be on her feet for much of the day.

At Buckeye Foot Care we offer patients amniotic membrane injections as an alternative to steroid injections. Patients are offered both. We had a number of individuals who seem to be making good progress, so we did a quality assurance review to look back at those people. We determined that all had at least 70 percent improvement with the injection of the amniotic membrane graft.

Recently, there was a big discovery that amniotic tissue is very successful in supplying growth factors that finesse the cells that are not functioning or working in chronic wound care. The application of this tissue has shown huge progress in how quickly they are healing compared with applying nothing at all or even applying other products. We have done head-to- head comparisons with what is already on the market with amniotic tissue, and these wounds are showing that they close a lot more quickly with amniotic tissue.

The wound is checked at weekly visits. Medicare and insurance companies reimburse the treatment. Most wounds of smaller size usually close with one application. If it is a larger wound, you may need multiple applications he said. It is approved for diabetic ulcers, and manufacturers are seeking approval for all types of wounds.

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