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Nail Clinic - Established Patients Only - Mondays 9am-12pm

Ainsley Roberson Rusevlyan, DPM

(252) 946-1181Washington, NC

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August 2022

Tuesday, 30 August 2022 00:00

What to Know About Bunions

A bunion, or hallux valgus, is a common foot ailment where a bony bump occurs on the joint of a big toe when bones on the top part of the foot move out of place. The pressure causes the tip of the big toe to be pulled toward the smaller toes and forces the joint to remain stuck. Bunions can develop from wearing tight or narrow shoes or having an abnormal foot shape, a pre-existing medical condition (like arthritis), or a foot deformity. Bunionettes, or smaller bunions, might form on the joint of a smaller toe.  Elderly people and women are more apt to get bunions. They can occur on one or both feet. Bunions can be painful, the joint might get stiff and swollen, and the skin may get sore and red. Prolonged standing might exacerbate the pain of a bunion. If left untreated, bunions can get worse over time, and it might become difficult to walk. Bunion pads, well-fitted shoes, or toe spacers might help. In severe cases, bunion surgery – a bunionectomy – might be called for. If you have a bunion, it is suggested that you see a podiatrist who can recommend the appropriate treatment for you.

If you are suffering from bunion pain, contact Ainsley Rusevlyan, DPM of InStride Roberson Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Read more about Bunions
Tuesday, 23 August 2022 00:00

Exercises for Morton’s Neuroma

There are a number of foot conditions that can cause an individual pain and discomfort in the affected area. Morton’s neuroma is one of these conditions. Primarily affecting the ball of the feet, Morton’s neuroma occurs when the tissue around a toe nerve thickens, which can ultimately cause sharp pain and burning. It is most common for Morton’s neuroma to affect the nerve that is located between the third and fourth toes. Performing various exercises and stretches might potentially help you manage or mitigate pain from Morton’s neuroma. You might try an exercise known as the bottle roll, for instance. When in a seated position, slowly and gently roll a cool water bottle underneath one foot at a time. When the water bottle is cold, this can cool the foot and reduce any inflammation. Instead of using a water bottle, you might even consider using a ball that is about the size of a golf ball. Additionally, you might try what is known as the big toe stretch. When you are sitting, put an exercise band over the big toe and extend the leg outward. After pulling the band toward you, use the big toe to repeatedly push the toes forward, working against the pressure of the exercise band. Please contact a podiatrist if you have Morton’s neuroma. Such a professional will be best able to help you manage and treat your condition.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Ainsley Rusevlyan, DPM of InStride Roberson Footcare. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Read more about What is Morton's Neuroma?

Regardless of your level of fitness or skill, or how often you play, you may experience an injury at some point while playing golf. Golf injuries can occur throughout the body, including the feet and ankles. The feet are critical to providing the necessary power and balance required as the body goes through the mechanics of the golf swing. Losing your footing, trying to strike the ball while balancing on an uneven surface, or having poor form while swinging may all contribute to injuries in the feet. Other golf injuries in the feet include ankle sprains, tendinitis, inflammation, and even blisters. You can help protect your feet and ankles while playing golf by improving your swinging form and wearing golf shoes that fit properly. To keep your feet and ankles in top form, or to learn more about how biomechanics can affect your game, make an appointment with a podiatrist. 

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Ainsley Rusevlyan, DPM of InStride Roberson Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Read more about Sports Related Foot and Ankle Injuries
Wednesday, 10 August 2022 00:00

Causes of Pain in the Second Toe

Pain in the second toe can cause a great deal of discomfort, but it is rarely discussed. One of the main causes of second toe pain is capsulitis, which is irritation or inflammation of the ligament capsule at the base of the toe. You may notice pain in the ball of the foot that feels worse when you walk barefoot, swelling in the area, and difficulty putting on or wearing shoes. Causes of capsulitis include improper foot mechanics, bunions, tight calf muscles, a weak arch, or a second toe that is longer than the big toe, which can affect the gait. Sometimes, if a person has capsulitis of the second toe, which causes it to drift toward the big toe, surgery may be required. If the pain associated with the second toe becomes debilitating or interferes with daily activities, it is wise to seek the help of a podiatrist who can diagnose the cause and provide treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Ainsley Rusevlyan, DPM of InStride Roberson Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Read more about Toe Pain

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Toenails are composed of layers and layers of keratin, which is a form of protein. Toe fungal microorganisms that cause a toenail infection can burrow themselves deep within these layers which make them difficult to kill. As the fungi feed off of the keratin in the infected nail, it becomes thickened, discolored, crumbly, ragged, and brittle. If the fungi embed themselves underneath the nail (in the nail bed), it can even cause the nail to lift off of the nail bed. Treating toenail fungus can be difficult as topical treatments can have a difficult time penetrating the nail to eradicate the fungus, and oral antifungal medications can sometimes cause dangerous side effects. Laser therapy for fungal toenails has emerged as an effective and safe treatment for toenail infections. The laser can precisely target the fungi and penetrate deep through the layers of nail to kill the fungi, without affecting surrounding healthy nail and tissue. If you have a stubborn toenail infection, it is suggested you call a podiatrist to see if you are a good candidate for laser therapy.


 

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Ainsley Rusevlyan, DPM from InStride Roberson Footcare. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

  • Nail thickening
  • Brittleness of the nail
  • Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

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

Read more about Laser Treatment for Fungal Nails
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