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What are Warts?

Warts are one of several soft tissue conditions of the foot that can be quite painful. They are caused by a virus and can appear anywhere on the skin. Those that appear on the sole of the foot are called plantar warts. Children, especially teenagers, tend to be more susceptible to warts than adults. Some people seem to be immune to warts.

Causes

The virus that causes warts generally invades the skin through small or invisible cuts and abrasions. The plantar wart is often contracted by walking barefoot on dirty surfaces or littered ground where the virus is lurking. The causative virus thrives in warm, moist environments, making infection a common occurrence in communal bathing facilities.

If left untreated, warts can grow to an inch or more in circumference and can spread into clusters of several warts; these are often called mosaic warts. Like any other infectious lesion, plantar warts are spread by touching, scratching, or even by contact with skin shed from another wart. The wart may also bleed, creating another route for spreading. Occasionally, warts can spontaneously disappear after a short time, and, just as frequently, they can recur in the same location.

Symptoms/Identification

Most warts are harmless, even though they may be painful. They are often mistaken for corns or calluses, which are layers of dead skin that build up to protect an area which is being continuously irritated. The wart, however, is a viral infection.

Plantar warts tend to be hard and flat, with a rough surface and well-defined boundaries; warts are generally raised and fleshier when they appear on the top of the foot or on the toes. Plantar warts are often gray or brown (but the color may vary), with a center that appears as one or more pinpoints of black. It is important to note that warts can be very resistant to treatment and have a tendency to reoccur.

When plantar warts develop on the weight-bearing areas of the foot (the ball of the foot, or the heel, for example), they can be the source of sharp, burning pain. Pain occurs when weight is brought to bear directly on the wart, although pressure on the side of a wart can create equally intense pain.

Home Care

Self-treatment is generally not advisable. Over-the-counter preparations contain acids or chemicals that destroy skin cells, and it takes an expert to destroy abnormal skin cells (warts) without also destroying surrounding healthy tissue. Self-treatment with such medications especially should be avoided by people with diabetes and those with cardiovascular or circulatory disorders. Never use these medications in the presence of an active infection.

When to Visit a Podiatrist

Dr. Allison Cheney a Podiatrist in Oakhurst, NJ recommends a consult with a podiatrist when any suspicious growth or eruption is detected on the skin of the foot in order to ensure a correct diagnosis. It is possible for a variety of more serious lesions to appear on the foot, including malignant lesions such as carcinomas and melanomas. Although rare, these conditions can sometimes be misidentified as a wart. 

Diagnosis and Treatment

It is possible that your podiatric physician will prescribe and supervise your use of a wart-removal preparation. More likely, however, removal of warts by a simple surgical procedure, performed under local anesthetic, may be indicated.

Lasers have become a common and effective treatment. A procedure known as CO2 laser cautery is performed under local anesthesia in either your podiatrist's office surgical setting or an outpatient surgery facility. The laser reduces post-treatment scarring and is a safe form for eliminating wart lesions.

Prevention

  • Avoid walking barefoot
  • Change shoes and socks daily
  • Keep feet clean and dry
  • Check children's feet periodically
  • Avoid direct contact with warts from other persons or from other parts of the body
  • Do not ignore growths on, or changes in, your skin
  • Visit your podiatric physician as part of your annual health checkup

My baby just started walking what shoes are Best!

There are so many options for new walker shoes how do you choose?  As a podiatrist who treats pediatric patients I find this to be a common question parents ask.  One shoe I can recommend with confidence is the Momo Baby Girls Mary Jane Leather Shoes.  I started mine with the Flower Power White and they were a hit.  As a podiatrist I know how complicated the human foot can become so “starting out on the right foot” is critical.  The trend I have found with Momo Baby has been quality as well as function with style.  Now that my baby is on the move and walking unassisted I need her in a shoe that will not only protect her feet from debris/bacteria but also provide her the support she needs.  The flexible rubber sole is solid, it is a very sturdy bottom but easily moves with the little feet.  I felt safe knowing the rubber and deep tread pattern will reduce slippage/falls.  As she began to walk I never found her to look clumsy in these shoes as I have seen so many other kids look in some stiff shoes.  I loved the idea of a removable, anti-bacterial, breathable insole.  Not only does this keep feet comfy and dry but in the event as a physician I need to recommend a shoe to a child that requires an orthotic the ability to remove the insert is key.

Similar to the crib shoes I tried by Momo, my only negative I found was the adjustable strap.  It was very durable Velcro however it had a drawback and that was my child liked removing it.  By the time my little one was 13mo she found the sound of the Velcro to be her entertainment while driving along in the backseat.  I think a possible loop closure in addition to the Velcro could prevent the little ones from totally removing the shoes.  When reviewing all the other shoes available if this is only downside to the shoe I can live with it.  Keep making amazing shoes Momo baby.

 

Dr. Allison Cheney

Pediatric Podiatrist in Monmouth County, NJ

October 04, 2018
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An Excellent Choice for a Soft Sole Crib Shoe

My baby had been barefoot for the first few months aside from socks on occasion to go out.  Looking back, I probably should have started her getting use to something on her feet earlier on.  When I received these crib shoes she still was not even crawling.   At first glimpse when I opened the box I fell in love with the color.  They were fun and exciting and not the typical white that I was use to seeing in all my baby pictures from 40+ years ago.  Color was only the start of what I loved, when I put my hands on them I realized they were quality.  100% leather is hard to find these days in adult shoes as well as children.  The benefit of premium leather is its ability to breath keeping the baby cool and dry.   Nobody wants to see cute baby feet and then have them smell.  Immediately I was excited with these shoes and after use I grew to appreciate them even more.  The suede bottoms not only protect her feet from slippage when she moved, but also from debris and bacteria.  The only drawback I found was the elastic ankle.  My daughter has a thick foot and I found it to be a bit tough for me to get her foot in and out however I understand the reason.  Maybe in a new generation there could be an option to open up and snap close with the elastic?  Overall the shoes were amazing and despite moving out of the crib shoes quickly I would recommend this shoe for all new moms.  The best part to me in reviewing the shoes was that as a Podiatrist my Medical Association the APMA has given Momo Baby entire line of footwear the prestigious Seal of Acceptance.  I can now say with my own confidence after using that these shoes they are not only beneficial but give significant value to my child’s overall foot health.

Dr. Allison Cheney

Foot and Ankle Specialist in Monmouth County, New Jersey

September is Peripheral Arterial Disease ( P.A.D.) Awareness Month!

 

Vascular Access Centers of Eatontown, is offering PAD Screening at No Cost all Month!

 

Here are some interesting facts about Peripheral Arterial Disease that many people don't know!                                                      

  • 180,000 non-traumatic AMPUTATIONS are performed in the US every year. Over half of these are done WITHOUT a proper evaluation or screening first, to determine if the limb could have been SAVED.
  • An estimated 10-12+ million Americans suffer from poor circulation in their legs and feet due to PERIPHERAL ARTERIAL DISEASE (PAD).  PAD limits 
  • walking ability, and decreases Quality of Life even in the earliest stages!
  • PAD is a common circulation problem in the arteries of the leg. Over time, these arteries become blocked with plaque, putting you at risk for STROKE, HEART ATTACK, and lower limb/extremity AMPUTATION.

Vascular Access Centers has launched the Health Evaluations for Limb Preservation (HELP) Initiative to assist patients and Health Care providers identify circulation issues sooner and prevent amputations.

Don't become a statistic. Let Vascular Access Centers HELP. Take the first STEP, and call us today to schedule your evaluation! Vascular Access Centers is committed to keeping you on your feet by saving your limbs and your quality of life.

Something to think about is that "Half of those who suffer from PAD will show NO signs or symptoms." Knowing what to look for is imperative in staying healthy.

The following are some risk factors that play a key role in determining if you're at risk. These risk factors include:

  • Diabetes
  • Smoking
  • High Blood Pressure
  • High Cholesterol
  • Obesity
  • Family History
  • Age (50+)

SIGNS or SYMPTOMS may include pain at exertion or rest, numbness, tingling and fatigue in the hips, buttocks, legs and feet.

Many amputations can be AVOIDED, and circulation in the legs and feet improved through MINIMALLY INVASIVE/NON-SURGICAL techniques (via a BANDAID-SIZED incision). Vascular Access Centers of Eatontown specializes in all endovascular techniques to treat PAD both ABOVE AND BELOW THE KNEE!

Take Action!!!

If you, or anyone you know, might be at risk, don't wait! PAD is a PROGRESSIVE disease. Vascular Access Centers of Eatontown can HELP by offering full service from diagnosis to treatment all within a comfortable OUTPATIENT atmosphere, requiring no overnight/hospital stay!

Article/Blog provided by:

Jennifer Noble at Vascular Access Centers of Eatontown & Piscataway

For more information on PAD, please visit http://www.vascularaccesscenters.com/pad-symptoms   

HEEL PAIN TREATMENT:

PRP VS. STEROID INJECTIONS

 

Steroid injections have been around what seems like forever but platelet rich plasma (PRP) has been the new latest craze in heel pain treatment in New Jersey.  How effective are these treatments for heel pain?  Dr. Cheney at AllCare Foot & Ankle in Oakhurst, New Jersey finds steroid injections to be a good short-term treatment for plantar fasciitis.  When patients seek treatment early on with symptoms of heel pain, Dr. Cheney has found her steroid injection to be more effective.  Unfortunately, many patients delay treatment due to optimism that the pain will go away or just too busy to get treatment.  Pain that has lingered longer than 2-3mo is less likely to respond well to the corticosteroid injection.  When this is the case Dr. Cheney typically will recommend an initial treatment with an orthotic, home treatment routine and possibly an oral anti-inflammatory.  After no improvement, Dr. Cheney will consider PRP.  Platelet rich plasma increases the body’s own response to injury and allows actual true healing vs just decreasing inflammation.  Dr. Cheney’s go-to treatment for heel pain however remains Extracorporeal Pulse Activation Technology (EPAT).  To find out what treatment is best for you visit www.allcarefootandankle.com.  





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