Texas Foot Doctor's Blog
Posts for: April, 2015
Children's soccer linked to ingrown toenails
Snug cleats, repeated kicking can contribute to a painful problem
Toes and feet can take a beating, especially from sports.
Foot and ankle surgeon Paul Marciano, DPM, says he treats many soccer-playing children for ingrown toenails. He blames improper toenail trimming, snug soccer cleats and repetitive kicking for creating this painful problem.
“Many kids wear hand-me-down cleats that don’t fit,” says Dr. Marciano. “Older children like tighter cleats. They believe it gives them a better feel for the ball and the field.”
Dr. Marciano has offices in Southlake, Hurst, Keller, and Flower Mound and is a member of the American College of Foot and Ankle Surgeons. He says there are steps soccer moms and dads can take to prevent their children from suffering a painful ingrown toenail. First, teach children how to trim their toenails properly. Trim toenails in a fairly straight line, and don’t cut them too short. Second, make sure cleats fit properly.
“A child’s shoe size can change within a single soccer season,” Dr. Marciano reminds parents.
If a child develops a painful ingrown toenail, soaking their foot in room-temperature water and gently massaging the side of the nail fold can reduce the inflammation. But Marciano warns parents against home treatments, which can be dangerous. The American College of Foot and Ankle Surgeons lists myths about ingrown toenail home treatments on its Web site, FootHealthFacts.org.
“If your son’s or daughter’s ingrown toenails show signs of infection, it’s definitely time to seek medical care,” says Dr. Marciano.
A foot and ankle surgeon like Marciano can remove a child’s ingrown toenail, and prevent it from returning, with a simple, 10-minute surgical procedure. During the short procedure, the doctor numbs the toe and removes the ingrown portion of the nail. Various techniques can permanently remove part of a nail’s root too, preventing it from growing back.
“Most children experience very little pain afterwards,” says Dr. Marciano, “and can resume normal activity the next day.”
For more information on ingrown toenails and other pediatric foot problems, contact Academy Foot and Ankle Specialists at 817-424-3668 or www.texasfootdoctor.org.
Power Mowers Pose Danger to Feet
Thousands of Foot Injuries Can be Prevented Each Year
Lawn care season is back and Academy Foot and Ankle cautions homeowners to protect their feet and the feet of those around them when using rotary-blade lawnmowers.
Each year, some 25,000 Americans sustain injuries from power mowers, according to reports issued by the U.S. Consumer Products Safety Commission. “The blades whirl at 3,000 revolutions per minute and produce three times the kinetic energy of a .357 handgun. Yet, each year we continue to see patients who have been hurt while operating a lawnmower barefoot,” said Dr. Suttle, a member of the American College of Foot and Ankle Surgeons.
Dr. Suttle said children under the age of 14 and adults over the age of 44 are more likely to be injured from mowers than others. She advises anyone who operates a power mower to take a few simple precautions:
- Don’t mow a wet lawn. Losing control from slipping on rain-soaked grass is the leading cause of foot injuries caused by power mowers.
- Wear heavy shoes or work boots when mowing – no sneakers or sandals.
- Don’t allow small children to ride on the lap of an adult on a lawn tractor. Children can be severely injured by the blades when getting on or off the machine.
- Mow across slopes, never go up or down.
- Never pull a running mower backwards.
- Keep children away from the lawn when mowing.
- Keep the clip bag attached when operating a power mower to prevent projectile injuries.
- Use a mower with a release mechanism on the handle that automatically shuts it off when the hands let go.
“If a mower accident occurs, immediate treatment is necessary to flush the wound thoroughly and apply antibiotics to prevent infection,” says Dr. Suttle. “Superficial wounds can be treated on an outpatient basis, but more serious injuries usually require surgical intervention to repair tendon damage, deep clean the wound and suture it. Tendons severed in lawnmower accidents generally can be surgically reattached unless toes have been amputated,” she adds.
Find information on this and other foot and ankle injury topics at FootHealthFacts.org, the consumer website of the American College of Foot and Ankle Surgeons.
Please call 817-424-3668 for an appointment for any foot and ankle injury!
Alcohol sclerosing injections are a conservative therapy to treat neuritis and painful nerve conditions. The most common use for these injections is neuromas.
A neuroma is an enlarged, benign growth of nerves, most commonly between the third and fourth toes. Neuromas are caused by tissue and/or bone rubbing against and irritating the nerves. Pressure from poorly fitting shoes or an abnormal bone structure can also lead to this condition. Symptoms may include sensations of thickness, burning, numbness, tingling, or pain in the ball of the foot.
Treatments generally include wearing corrective shoes or orthotics and/or receiving cortisone injections. If cortisone injections fail, an alcohol sclerosing injection is another conservative therapy before surgical removal of the neuroma is considered. In severe cases, however, surgical removal of the growth may be necessary.
Alcohol sclerosing injections, also known as chemical neurolysis, are made up of a dilute solution (4%) of ethyl alcohol. They are given in weekly intervals until symptoms are resolved. It can take anywhere from 3-7 injections for 100% relief to be obtained. This procedure has fewer potential complications than surgical removal, and has a reported success rate up to 89%*.
(*Dockery GL: The treatment of intermetatarsal neuromas with 4% alcohol sclerosing injections. JFAS, 38(6):403-408, 1999.)