Foot Disorders Treated at San Carlos Podiatry Clinic

Achilles Tendonitis

This is an inflammation of the tissue surrounding the Achilles tendon.  The pain occurs in the back of the heel or the back of the ankle and in the lower calf. The pain usually improves after a warm up period. Swelling and morning stiffness are usually experienced in severe cases. Events that can cause Achilles tendonitis may include rapid increase of speed, hill running, rigid shoes, overpronation or simply lack of flexibility in the calf muscles. Treatments usually include stop exercising, rest, ice, non steroidal anti-inflammatory, flexing and stretching the calf muscles before and during exercise and wearing custom fitted orthotics prescribed by your podiatrist. Please contact us for an appointment.

Arthritis in the Foot

Arthritis is the inflammation and swelling of the cartilage and the lining of the joint, sometimes accompanied by cartilage destruction and fluid in the joint. Arthritis appears to be associated with many different illnesses despite its close link to genetics. Joint inquiries especially if not treated promptly can lead to osteoarthritis.

Symptoms usually include pain and stiffness in the morning and dull, throbbing pain at night. Swelling, heat and redness can also be visible around the joint.
Arthritis in feet can alter the walking pattern all together, leading to knee, hip  and lower back problems, therefore it is important to see your podiatrist if you have persistent foot pain. Prompt care, such as medication, physical therapy, orthotics device, ankle brace and special shoes can help to prevent further joint destruction.Please
contact us for an appointment.

Ankle Sprain

Ankle sprain is a sudden outward or inward motion of the foot and or ankle, stretching and or rupturing the ligaments, joint capsule and tendons, usually leaving the bone structures intact and unaffected. Depending on the severity of the sprain, one can experience an array of symptoms from mild pain to severe bruising accompanied by swelling.

Immediate R.I.C.E therapy is the best course of action.

If pain and swelling do not improve with R.I.C.E or you are unable to put weight on the injured ankle and foot, contact us immediately.

Athlete’s Foot

Athlete’s foot is a fungal infection of the feet. It can cause pain, burning, itching, blistering, cracking and scaling of the skin. If the cracking and scaling of the skin left untreated, then a secondary bacterial infection can occur. If you see redness and swelling beyond the area of fungal infection, contact us immediately. In chronic athlete’s foot, the risk of spreading to the toenails and other parts of the body becomes greater.  Fungus which is a ubiquitous organism has a tendency to thrive in warm, dark and moist environment such as shoes and socks. Some people are also more susceptible to athletes’ foot due to body chemistry, excessive perspiration and chronic exposure. It is very important to wear clean socks, use antiperspirant on feet, allowing shoes to dry out before wearing them , avoid walking barefoot in community showers and avoid traditional nail salons. Fungus in athlete’s foot is also an opportunistic infection which means it has a stronger hold on people with compromised immune system such as diabetics, suffering from systemic arthritis on immunosuppressive medications.

To know more about prevention of Athlete’s foot click here.

If you continue to suffer from athletes foot despite all efforts, Please contact us to request an appointment. Dr. Kelly will be able to prescribe topical antifungal cream and in severe cases, oral antifungal pills. Also Dr. Kelly might suggest a Foot Facial to jump start your treatment depending on the severity of the condition.

Bunions

A bunion is an enlarged bone on the side of the big toe. This is due to an outward deviation of the bone, creating an angled joint. Depending on the severity of the bunion, the big toe may be angled mildly or sharply toward the other toes, sometimes overlapping or under lapping. The protuberant joint can become irritated and inflamed in shoes. The skin over the joint becomes painful and tender. If the irritation of the joint continues, then over time, bursitis or arthritis may occur, causing more difficulty with walking.

Bunions can be caused by hereditary tendency, foot trauma, neuromuscular disorders, congenital deformity or poorly fitting shoes.

It is important to prevent bunion deformity before it is too severe, since an untreated bunion can interfere with standing and walking.

Although bunions do no resolve by themselves, however, there are few common  methods  that can reduce the pain and the pressure such as, wearing roomy and comfortable shoes with adequate support, protective cushions which can eliminate the rubbing, wearing shoe inserts prescribed by you podiatrist and in some cases surgery is needed to remove the bunion and realign the joint.

Please contact us to request an appointment.

Calluses

A callus is a hard, thickened skin usually occurs across the ball of the foot, on the heel or on the outer side of the big toe indicative of a problem with the underlying bones. Calluses are your skin’s way of protecting you. Hard layers of dead cells are produced when skin undergoes excessive pressure or friction. The thicker the callous becomes, the more pain and burning it may cause as it increases pressure on living tissue underneath.

Here are a few tips on how to treat. Never cut calluses yourself. Wear roomy and comfortable shoes with adequate padding and cushion across the ball of the foot.
You may use a pumice stone or a skin file to reduce the callus. Wear custom orthotics to help your feet function better.

If you need help reducing the callus, please contact our office. Dr. Kelly can shave the callus and apply no medicated padding to reduce the pain. Also depending on the severity of the callous, you might be a candidate for a Foot Facial or Dr. Kelly might suggest injection of Pillows for the Feet. The Sculptra dermal filler can provide long lasting internal padding and cushioning around the bone, protecting the bony structures.

Please contact us to request an appointment.

Corns

A corn is similar to a callus, but it is smaller and usually occurs on the top, between or on the tip of the toes. A “soft” corn is a corn that absorbs and holds moisture. They are usually found between the toes. A “hard” corn is a corn that usually is on the tip or top of the toes and on the side of small toes. Just like a callus, a corn is also the skin’s protective way against friction and pressure. Usually, ill fitting shoes (tight or too loose) and socks are the main cause of corns. Structural deformity, such as hammertoes or bone spurs can lead to corns.


Prevention and treatment for corns include roomy shoes, non medicated toe pads, toe spacers, using a pumice stone to gently reduce the corn and in severe cases surgical treatment is reccomended.

For recurrent and persistent corns please contact our office. Dr. Kelly will be able to assess the cause the corn and might suggest injection of Pillows for the Feet. The Juve`derm dermal filler can provide long lasting internal padding and cushioning around the toes, protecting the bony structures.

Please contact us to request an appointment.

Diabetic Foot Care

Diabetes afflicts about 16 million Americans, according to the American Diabetes Association. Individuals with diabetes are prone to complications. One of the foremost complications is nervous system damage or neuropathy which causes the lose of feeling in the feet. As a result, a diabetic person might not feel cuts, scratches, blisters and breaks in the skin. These wounds can lead to unnoticed infection and if left untreated, they can lead to serious consequences, including amputation.
If you have diabetes, you may not notice rough seams in socks and shoes or a pressure/friction from ill fitting shoes. This combined with poor circulation can put a diabetic patient at risk for infection.

In order to prevent foot problems, it is important to check feet daily for any cuts, cracks in the skin, open sores, changes in the color of the skin, changes in temperature, pain in legs, ingrown or fungus infected toenails, corns or calluses.

If you are experiencing inflamed areas, broken skin, infected skin, ingrown toenails, red steaks, pale or blue skin, changes in feeling, swelling or tenderness, please contact us immediately for a comprehensive diabetic foot exam.

Ingrown toenails

Ingrown toenails are often caused by importer trimming. It can also be caused by repetitive trauma to the nail, tight shoes, and hereditary leading to the inflammation of the skin around the nail borders allowing the nail border penetrate the skin and infection can set. Most often, the attempt to remove the ingrown can lead to more infection. If your nail continues to grow inward despite proper trimming, please contact us for an appointment. Dr. Kelly might suggest Nail Restoration before any medical or surgical treatments.

For prevention tips, click here.

Metatarsalgia

Metatarsalgia is the inflammation of the metatarsal bone in the ball of the foot. This can occur because of foot injury, atrophy of natural padding in feet, ill fitting shoes and arthritis. Often a callus is formed under the inflamed joint which can exacerbate the pain and inflammation. It is important to address the problem to prevent future joint destruction. If you are experiencing prolonged pain and inflammation, please contact us for an appointment. You might be a candidate for a custom fitted orthotics or Pillows for the Feet.

Neuroma

A neuroma is a benign growth that occurs when the nerves in the foot are pinched and inflamed. A neuroma can cause, pain, burning, tingling or numbness between the toes and in the ball of the foot. Ill fitting shoes, abnormal bone structure, foot injuries can cause a neuroma. Women are more susceptible due to wearing high heel shoes.
For a comprehensive evaluation, please
contact us for an appointment.

Toenail Fungus

Fungal infection of the toenails is a common health condition, although many people assume it is only a cosmetic problem. If a fungal infection is ignored, it could spread and impair your ability to walk. Thickened, brittle, yellow, discolored nails often indicated a fungal infection. There are other conditions such as trauma to the nail, degenerative changes of the nail plate or psoriasis can cause changes in the nail appearance. At the early stage of the infection, the nail might not be painful. As the infection spreads and progresses to the nail bed and the cuticles, the nail can become thick and often split. Pain may develop as the thick and deformed nails cause pressure inside shoes.

Fungal nails are usually more resistant and difficult to treat. Topical medications are usually less effective than oral medication and laser treatment. In some rare cases the nail has to be removed surgically. If your health conditions prevent you from any medical treatment, then Dr. Kelly can suggest a nail restoration system to you.

If you are suffering from toenail fungus, please contact us for an appointment.

At your first visit, a small section of your nail will clipped and will be examined for fungus.  Once the fungus infection has been confirmed, Dr. Kelly will suggest an appropriate treatment according to your health history.

It is also paramount to take care and avoid re-infection.

To know more about how to prevent Toenail fungus infection, click here.

Plantar Fasciitis/ Heel Pain/ Heel Spur

The most common cause of Plantar Fasciitis/Heel pain comes from moving your foot incorrectly while walking or running. This can place too much stress on the heel bone and the soft tissue around it, including the plantar fascia (A thick, broad ligament that runs from the heel to the ball of the foot, supporting the arch of the foot). The result is pain. In some cases, excessive stress on the arch can lead to small tears in the plantar fascia.

Hereditary muscle and bone problems, heel injury or bruising, worn out shoes and excessive weight can affect the way your foot moves leading to plantar fasciitis /heel pain. Also some medical disorders such as arthritis can lead to plantar Fasciitis/heel pain.

A Heel Spur is a bony growth on the underside of the heel. Chronic Plantar Fasciitis and Heel Pain often result in formation of heel spurs. In most cases, heel spurs are painless.

Plantar Fasciitis and Heel Pain are usually worse with the fist few steps in the morning or after prolonged rest. The pain diminishes after a few steps of walking. Also you can experience pain and fatigue in feet and legs after a period of walking or standing.

Please contact us for an appointment. Dr. Kelly can evaluate your feet by obtaining in-office x-ray and gait analysis. Depending on the severity of your condition, Dr. Kelly might prescribe medication, physical therapy, and custom fitted orthotics or Pillows for the Feet injection.

Warts/Verruca

Warts are caused by a virus. Warts appear as hard, tough skin similar to a callous or a corn with black pinpoints in the center. Depending on the location of a wart on the foot, it can become painful and mimic a callous or a corn.

Like all viruses, they are contagious and can be spread from one person to another and can be spread from one person to another or from one part of the body to another.


Once the wart has been treated, it is important to prevent recurrence or new infection. To know more about prevention, click here.

For an evaluation, please contact us for an appointment.

Orthotics

These are custom-made inserts that are intended to adjust an abnormal or irregular walking pattern and providing support in the arch. Orthotics can help your feet function better and minimize, stress and pain in your feet.

For an orthotic evaluating and gait analysis, please contact us for an appointment.