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Podiatrist - Washington
853 Jefferson Ave
Washington, PA 15301
(724) 225-7410
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Posts for tag: ingrown toenails

By Philip S. Pinsker, DPM PC
August 08, 2018

At Philip S. Pinsker, DPM we frequently see foot and ankle problems that could have been easily treated but now have become severe because a patient waited too long before seeking evaluation and treatment. Continuing to walk on a sprained ankle can lead to a secondary fracture. Ingrown toenails can become infected once the nail actually punctures the skin. A forefoot that had intermittent pain suddenly can’t bear weight. These are just a few examples. Foot pain that is chronic or extreme does not usually resolve on its own. It’s essential that if you are experiencing discomfort that you contact our Washington office sooner rather than later for an appointment by calling: (724) 225-7410.

Our podiatrist, Dr. Philip S. Pinsker, will use every means available to diagnose your foot problem. This will include a physical examination, medical history and possibly x-rays or other imaging studies and lab tests to arrive at an accurate diagnosis.

Preparing for Your Visit

You can help ensure that the foot doctor has all the information he needs and speed the diagnosis and recovery by doing some preparation before your visit. Before your appointment, check with your insurance provider to see if you need a referral. Bring the following items with you to the appointment:

  • List of all medications and supplements you are currently taking and also any that you are allergic to
  • Current insurance card
  • Any questions you have about your foot or ankle discomfort (it’s a good idea to write these down so you won’t forget once you’re at the office)
  • Shoes that seem to make the pain worse or, shoes that you wear frequently—the podiatrist may get some clues about your condition by examining the wear pattern

In addition, it’s essential that you let the foot doctor know if you are being treated for other medical issues. Symptoms and treatment of your feet can be directly related to systemic conditions such as diabetes, peripheral arterial disease and arthritis.

At Philip S. Pinsker, DPM we are your partners in podiatric care. If you need additional accommodations for your visit, please don’t hesitate to contact us prior to the time of your appointment. 

By Philip S. Pinsker, DPM PC
June 27, 2018
Category: Foot Pain

At Philip S. Pinsker, DPM patients come to us for a number of disorders that are making their feet hurt, such as bunions, plantar fasciitis and ingrown toenails. Sometimes, however, the source of foot pain is less evident. That’s when our podiatrist, Dr. Philip S. Pinsker, has to put on his Sherlock Holmes hat and do a little sleuthing. Some of the hidden reasons he finds for foot pain may surprise you.

Wrong shoe size—many patients continue to buy the same size shoe year after year. As you age, it is not unusual for your foot to get a little bigger, necessitating an increase by a half or even whole size in your footwear. Pregnancy can also result in foot growth that is permanent. It has been estimated that up to 90% of people may be wearing shoes that are too small for them.

Weight gain—it surprises patients to find out that just putting on a few extra pounds—not even enough for your doctor to comment on or your clothes to feel tighter—can make your feet hurt. That’s because when you walk, your feet bear the impact of 2-3 times your body weight and when you run, it’s 5 times the weight of your body.

Bought shoes at the wrong time—no, we don’t mean you missed the sale. If you shop first thing in the morning, your feet are at their smallest size. As the day goes on, feet swell. Shoes that felt fine when you put them on at the start of the day may be causing foot pain by the time you are leaving work. Make sure there is a half inch between your longest toe and the front of your shoe and that you can insert a finger between your heel and heel counter when purchasing shoes. And, shop at the end of the day whenever possible.

Too much time barefoot—your feet receive a substantial amount of impact just from everyday walking around. If you spend much of your time without shoes, your feet are not cushioned in any way. In addition, walking barefoot often cause feet to flatten which can result in pain to the arch and heel.

What’s important is that if you are experiencing foot pain you contact our Washington office (724-225- 7410) for an appointment sooner rather than later. Generally, the earlier on the podiatrist detects the cause of your pain the less invasive the treatment and the faster the healing.

By Philip S. Pinsker, DPM PC
January 31, 2018
Tags: ingrown toenails   seniors  

As we age it’s natural for our bodies to begin to show signs of wear and tear and your feet are no exception. That being said, we at Philip S. Pinsker, DPM know that seniors can and should be able to fully participate in an active life, enjoying time with friends and family, hobbies and sports. An important aspect of proper podiatric care is being proactive and focusing on prevention of disabling conditions that could sideline you. Below are 5 podiatric healthcare tips for seniors:

  1. Don’t ignore foot pain or discomfort. When your toe, foot or ankle hurts you, call us. Our podiatrist, Dr. Philip S. Pinsker, is here to assess the condition of your feet and determine the cause of any discomfort you may be experiencing. When your feet are in pain it can cause you to alter how you walk to avoid the pain and this can lead to trips and falls. Most conditions require less invasive treatment if found early.
  2. Be alert to changes in your feet. Get in the habit of regularly examining your feet. Look for changes in skin color, toenails, bruising, swelling, growths, rashes or wounds. Notice if any toes are moving out of place or you feel stiffness in foot or ankle joints. Let the podiatrist know if you see something unusual in your feet.
  3. Take care of toenails. Keep nails trimmed straight across and not too short. Do not round the edges as this may encourage ingrown toenails.
  4. Stay current with other medical exams. Poor vision can cause stumbles. Not following your doctor’s instructions about diabetes control can result in foot ulcers and neuropathy. The health of one part of your body affects the health of the rest of your body.
  5. Maintain good circulation. Don’t wear tight stockings or socks with strong elastic in the cuff. Change positions frequently throughout the day. Regular exercise, especially walking, is an excellent way to keep blood flowing. Don’t smoke as nicotine is known to negatively impact circulation.

Patients of all ages have special needs and concerns. If you have questions about the proper care of your feet, contact our Washington office by calling:  (724)225-7410.

By Philip S. Pinsker, DPM PC
September 13, 2017
Category: Toe Pain

A condition that we at Philip S. Pinsker, DPM see appearing with more frequency once the temperatures drop is the ingrown toenail. In patients that are prone to these, going from open toed shoes and flip flops to closed shoes, some perhaps with too narrow toe boxes, can cause an ingrown toenail to develop.

If the Conditions are Right…

When the toes are squeezed tightly together it makes it more likely that a nail being pressed into the skin around the toe will start to grow inwardly. Other causes of ingrown toenails include:

  • Heredity—some people’s foot structure encourages ingrown nails and this can be passed on
  • Improper nail care—toenails that are cut too short or that are rounded instead of cut and filed straight across have a greater tendency to grow back into the skin
  • Injury
  • Fungal toenail infections
  • Repetitive pounding of the toe and nail into the shoe, such as long distance runners experience

Signs and Symptoms

Ingrown toenails are usually fairly obvious. First the affected area will get hard, swollen and tender. Left untreated, they may become very painful and red and once the nail actually penetrates the skin and an infection can develop. Signs of this are discharge coming from around the nail and a foul odor.

Treatment

In the early stages, you can try to back an ingrown nail out of the skin by soaking your feet in warm soapy water several times a day. After soaking when the skin is softer, gently try to massage the nail out of the skin. Never attempt to cut or dig the nail out with clippers or other sharp instruments. This can lead to a much worse injury.

If you are unable to work the ingrown nail out with soaking, make an appointment to see our podiatrist, Dr. Philip S. Pinsker. The foot doctor will examine your toenail and determine the best way to remove the nail. In severe cases, a partial nail plate avulsion may be recommended, which involves using local anesthesia and cutting out the ingrown part of the nail. The podiatrist will also prescribe an antibiotic if the nail has become infected.

The bottom line is that “doing nothing” will not get rid of an ingrown nail. Don’t suffer. Contact our Washington office for an appointment today by calling:  (724) 225-7410.

 

By Philip S. Pinsker, DPM PC
August 17, 2017
Category: Foot Care

At Philip S. Pinsker, DPM, we’re encouraging all of our patients to celebrate this special day by taking some time to appreciate all that your feet do for you. Without fully functioning, pain-free feet, daily activities, work and play would all be impossible. It’s not hard to take good care of your feet. Here are a few suggestions to implement daily, monthly and annually:

DAILY: 

  • Get in the habit of washing your feet every day with a mild soap and warm water. Dry completely, especially between your toes to help prevent athlete’s foot.
  • Use a good quality moisturizer on your feet to prevent dry skin and cracked heels.
  • Keep feet dry by changing your socks as soon as you notice your feet are damp from perspiration. Use a foot powder if you tend to sweat profusely.
  • Put your feet up at the end of the day.
  • Get some exercise. This will help keep your feet in good shape and also help you maintain a healthy weight which will reduce stress and pressure on your feet.

MONTHLY: 

  • Give your feet a self-exam. Check for any unusual bumps, changes in shape or size, skin color and nail abnormalities. If you find anything out of the ordinary, be sure to report it to our podiatrist, Dr. Philip S. Pinsker, so it can be evaluated and treated if necessary.
  • Get or give yourself a pedicure to keep toenails in good shape. Remember that nails should be cut straight across and not too short to help prevent ingrown toenails from forming. 
  • Consider a foot massage to help improve or maintain good circulation.

ANNUALLY:

  • Check all your shoes for signs of wear. Shoes that have lost ankle or arch support can begin to cause foot pain. Loose stitching or fraying leather/fabric can rub and cause blisters. Discard shoes that are worn out. 
  • Have your foot professionally measured before buying new shoes. Foot size can change as we age.
  • Get a full podiatric check up to make sure your feet are in good health. The foot doctor can give you suggestions for proactively caring for your feet and also will be able to detect foot disorders in their earliest stages. Contact our Washington office to make your appointment by calling:  (724)225-7410.
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