Dr. Martha F. Thornton, D.P.M.

Has there been any history of injury to the toe? Therefore, without more inflammation I unable to provide you with an answer to your question at this time. If possible a picture posted will help me too.

It really depends on the type of fracture. I will usually buddy splint the fractured toe next to the adjacent toe and require the patient to wear a protective shoe until the fracture has healed completely. Therefore, I will request some follow-up x-rays to be taken to assess the healing process of the fracture. It usually takes approximately 6 to 8 weeks of healing time of the fracture site, or for the development of a primary bone callus at the fracture site that is consistent with the healing process.

Well you didn't state if there has been any injury to you right foot. There is a possibility that she may have some staying either a stress fracture of the second metatarsal or the toe or you can just have a stress fracture in the foot. Therefore I would advise you to seek professional care and evaluation where x-rays may be taken to rule out the possibility of a fracture in your foot. Avoid walking barefooted continue with your icing resting and possibly wearing a protective shoe that would be provided by the foot specialist if there is a possibility there is a stress fracture, complete fracture, or subluxation, or dislocation present in the foot. Advised, you to seek professional evaluation and treatment for your current foot issue.

I think you are asking about exercises for the treatment of plantar fasciitis and heel pain in the bottom of the foot and inner arch then, I recommend this link on You Tube. https://www.youtube.com/@AskDoctorJo. I recommend As Dr Jo because she has excellent YouTube video demonstrating how to do many exercises and stretches for many conditions affecting the lower extremity. Also, he may benefit from first stop walking barefooted, avoid wearing flip-flops, invest finding a pair of orthotics (Power Step Orthotics - are pre-fabs type of orthotics) can be purchased online at Amazon or at Dick's and most sporting goods stores.; icing the areas for treatment of pain and inflammation; taking over-the-counter pain medication or nonsteroid anti-inflammatory medications taken for short period of time may help to alleviate pain and inflammation. Just be careful with taking nonsteroid anti-inflammatory (such as Motrin, Naproxen, Naprosyn, Aleve) which could cause GI bleeding or injury to the kidneys, liver or even heart issues or a hear attack if taken over a long period of time.

I tell my patient that healing times varies depending on the particular elective foot surgical procedure. Most of incisions outer scar is well headed in approximately 3 months. However, the body usually will continue to heal from anywhere approximately 16 to 18 month especially if there is any cutting of the bone then all the tissue (soft tissue and bone) will have varying healing time period. Also, ones overall health status, nutritional status, smoking, drinking of alcohol beverages, circulation, health issues all impacts the healing process.

Question: Has there been any recent injury or sprain of the foot-ankle. Do you have any other medical issues such as diabetes, hypertension, kidney disease, circulation problems, or lymphedema disease or smoker or former smoker? Without knowing more about your current health status I am unable to provide any information to you about the swelling. You should seek professional evaluation and treatment of your current problem.

If there is pus present at the big to she will mostly need a prescription for some oral antibiotic medication to resolve the infection. Your mom should seek professional evaluation and treatment of her current foot condition. Therefore, the infection will not go away without taking some antibiotic medication. Those worms at the big toe were possible maggots that can happen in a wound-open sore if a fly's lava lay there eggs into the open sore.

No an ingrown toenail will not fix his self. However, surgical intervention may be necessary where removal of the offending painful ingrown margin(s) may be necessary and permanent resolution for the ingrown toenail condition. If having recurrent ingrown toenails issues then it would be advisable to have permanent removal of the margin(s) of the affected toe. Taking oral antibiotic medications, applying topical antibiotic ointment, and/or Epson salt foot soaks only treats the acute infection and they don't resolve the ingrown toenail margin(s) issue permanently. Therefore recommend seek professional care of the foot specialist for evaluation and treatment of the ingrown toenail problem.

Seek professional care , possible Cardiologist consult would be a great place to start. They can do some non-invasive testing (non-surgical ) studies and testing to figure out what is going on to cause the swelling.

Most surgeons will prescribe some pain medication for control of the patient's post op pain. Starting off with a narcotic pain medication for a few days then taping down to just regular Tylenol or non-steroid anti-inflammatory medication.

I am sure of what you are asking? If you are asking about surgical procedure for removing a heel spur it depends on where is the spur located on the bottom or in the back of the heel. Heel spur located in the back of the heel may be due to Achilles tendonitis or abnormal walking pattern, or an injury. Whereas , a heel spur on the bottom of the foot that may be associated with plantar fasciitis may be due to an abnormal gait or walking pattern or injury. Therefore, there surgical correction are entirely different in addressing the removal or in your words fixing the spur.

This is an issue or question that should be discussed with the surgeon who is performing the surgical procedure on the ankle. However, how soon you will be able to run on it will be dependent on what is done surgically at the ankle.

The injury that your foot may have sustained is called a possible a "contusion injury or fracture. The is sometimes results in the bruising of the soft tissue and bone in the affected area(s) where the injury has occurred. You probably should get the affected foot X-rayed to rule out a possible stress or complete fracture of the affected foot. You can continue to apply an ice pack not directly onto the skin but at the affected area(s) for the treatment of pain and inflammation. Pain management: Tylenol 325mg over the counter medication may help in the treatment of pain and inflammation. The injured areas may take some time to heal. Seek the professional care of a foot specialist or podiatrist or even your primary care provider can order some X-rays of the affected foot if you are still experiencing some pain and discomfort.

Idiopathic Neuropathy symptoms may presents with either burning, tingling, numbness, pin & needles, pressure. Were any test like an EMG or NVC tests ordered? Next, an epidermal nerve fiber density biopsy may need to be performed to rule out the possibility of a condition of " Small fiber Density Neuropathy of either and/or the Delta A fibers myelinated and C fibers unmyelinated have decreased in size, and quantity, and/or morphology of the these nerves in the skin. A punch biopsy is beneficial in help to make the diagnosis. There are several cause of neuropathic pain such as but not limited to Discussed the possible etiological factors/origins of the Peripheral Neuropathy possibly secondary to: arthritic joint, Spinal Stenosis, Radiculopathy, abnormal gait, Diabetes, Alcohol abuse, Vitamin B deficiencies, Autoimmune diseases, such as rheumatoid arthritis and lupus, in which the immune system attacks your own tissues, or Kidney, liver or thyroid disorders.
Discussed the various conservative treatment options: taping, massage, supportive shoe, therapeutic steroid injections, orthotics, physical therapy, limit activities, avoid barefoot ambulation, NSAID, pain meds, Anti-seizure medications such as gabapentin (Neurontin), topiramate (Topamax), pregabalin (Lyrica), carbamazepine (Tegretol) and phenytoin (Dilantin). Antidepressants medications such as Tricyclic antidepressant medications, such as amitriptyline and nortriptyline (Pamelor). Food Supplements: 1. Benfotiamine 150mg) + 2. Vitamin B Complex . Take one tablet once daily. 3. Acetyl L Carnitine 400mg . Take one tablet once daily with meals. 4. Alpha Lipoic acid 200 mg. Take one tablet once daily with meals.
Recommend an Epidermal Nerve Fiber Density Biopsy to be scheduled if the patient symptoms worsen.
Recommend Neurologist Consultation with NCV and EMG studies if the patient symptoms worsen. .
Discussed the benefits of food supplements and vitamins in the treatment of neuropathy affecting the lower extremity:

1. The patient may benefit from taking the following Dietary Food Supplements: Recommend continue Diabetic Nerve Rejuvenator . Disp: #90. Sig: Take 1 PO twice daily for treatment of neuropathy affecting the feet, and lower extremity, bilateral.

2. Discussed the major components Benfotiamine which is the folic acid portion helps in improving oxygen saturation of the red blood cell there by decrease the ischemic affect of the nerve and soft tissue, whereas the B6 and B12 components may help to repair the damage nerve(s) of the lower extremity. Alpha Lipoic Acid may help to reduce symptoms of numbness, burning, pins & needles, tingling, and prickling pain in the feet and legs. Acetyl L –Carnitine may help in decreasing pain, nerve regeneration, and improve vibratory perception in patients with chronic neuropathy, and/or diabetic neuropathy. The information I have provided in attempting to answer your question can be discussed by a foot specialist -podiatrist who is comfortable in treating this condition. Also, if you have diabetic induced neuropathy then there are several medications that your primary care provider can prescribed for the treatment of neuropathy pain (Lyrica, Gabapentin, Cymbalta) . I hope that my information help you but without talking to you to gather more health information I just decided to talk about idiopathic neuropathy. Seek the professional care of a foot specialist whom is comfortable in treating neuropathy of the feet and lower extremity.

I am not sure. However, some manipulation of mild bunion deformity may provide some relief at the 1st metatarsal phalangeal joint , and wearing orthotics to prevent worsening of the foot condition,. The orthotics may help to control and/or decrease the abnormal or over pronation motion (the rolling inward direction of the heel after initial heel contacts the supporting surface) at the subtalar and mid-tarsal joints on closed kinetic ambulation. These two joint a important in how the foot function properly during the gait cycle while walking.

First, has your mother been evaluated and treated for the swelling of her feet and legs by her primary care provider or cardiologist? A cardiologist is a doctor who specializes in treating diseases of the cardiovascular system (circulation problems affecting the lower limbs).

Please make an appointment with a foot care specialist or podiatrist to provide you with the proper information on treating your current foot issue.

You can purchase Band-Aid Blister Gel Guard for the Heels over the counter brand adhesive bandages by Johnson & Johnson.. These gel bandages will provide some cushion and prevent blisters from developing on the back of the heel. If your current foot issue worsen then seek the care of foot specialist or podiatrist.

Please make an appointment with a foot care specialist or podiatrist for evaluation and treatment of your current pedal issue(s). Your shoes may not be appropriate for your foot type or structure. After all, it has been several months and your current foot issue has not resolved, then it is time to seek professional care and help in possibly resolving this problem.

If your ankle is hurting secondary to development of some possible arthritis, then consider trying some of the over-the-counter topical Hemp pain medications. You may benefit from wearing a pair of biomechanical orthotics to provide protection, stability, and support of the affected foot.