Greensboro Podiatry offers a full array of podiatric services to help you maintain healthy feet. You can read more on this page about specific services.

  • Personalized Care
  • Same Day Appointments
  • Foot and Ankle Surgery
  • Gait Analysis
  • Custom Orthotics
  • Vasyli Orthotics
  • Custom Orthotic Sandals and Flip-Flops
  • Aetrex Shoes
 
   
AnkleSprains:
Ankle sprians are one of the most common injuries sustained in the American population and account for approximately 15% of all general sports injuries. It is important to identify and treat the injury early to optimize healing and return to normal activities without residual problems. Symptoms include swelling, discoloration, pain, and difficulty with walking. There are different classifications of ankle injuries that typically correspond to the severity and degree of injury. Depending on the severity of the injury x-ray examination may be necessary to identify a concommitent fracture.

Treatment Options:
Treatment is addressed according to the severity of the injury and the functional demands of the patient. General principles of treatment focus on addressing the inflammation. The popular acronym, "R.I.C.E." refers to rest, ice, compression and elevation. Protecting the injured ankle ligaments and joint and physical therapy may be necessary. If the injury is severe or becomes a chronic problem then immobilization and/or surgical intervention may be appropriate.

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Bone Spur
Heel Pain:
In the majority of cases, heel pain is caused by inflammation to a thick band of tissue (plantar fascia) that extends from the heel to the ball of the foot. Classic symptoms include pain with the first step after rest, especially after getting out of bed in the morning. The pain often lessons after a few steps but typically continues to hurt with weight-bearing activities. Sometimes, a heel spur can develop.

If one's heel pain does not improve with rest and is constant, an inflammatory arthritis may be involved. Heel pain may be an indicator of a systemic problem as opposed to a biomechanical problem.

Treatment Options:
Most patients can be treated successfully without surgery. In general, the sooner that people seek treatment for this problem, the greater chance for successful treatment with non-surgical measures. These treatments include anti-inflammatory medication, injection therapy and/or arch supports. Wearing a supportive shoe and avoiding going barefoot are recommended to reduce the strain and inflammation to the irritated plantar fascia. If the pain does not respond to conservative treatment, surgery can be performed to release the taut plantar fascia and reduce the spur. If the problem is a systemic problem then this would be addressed accordingly by the appropriate specialist.

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Ingrown Toenail
IngrownToenails:
Ingrown toenails occur when part or all of the nail grows into the skin surrounding the toe. The toenail may cause discomfort, swelling, drainage and/or redness. An ingrown toenail could result in inflammation or an infection. Many factors can contribute to the develpment of an ingrown toenail including improper cutting or trimming of the nail, trauma and improper self-treatment.

Treatment Options:
Home treatment may consist of soaking the affected toe in warm Epsom salt water. A Podiatrist may need to remove a portion of the nail back to the base to relieve the symptoms. A local anesthetic may be used to lesson the pain if a procedure is performed. Antibiotics are often prescribed if the ingrown toenail is severe.

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Fungal Nail
Thickened/Discolored Toenails:
Thickening and/or discoloration to the toenails are problems that many experience. One or multiple nails may be involved. Often this occurs secondary to trauma to the nail and/or a fungal infection. Many people presume that it is an embarrassing and an unsightly problem that they must endure; however, there are effective treatment options for this problem.

Treatment Options:
Cultures may be necessary to confirm the diagnosis of a fungal infection to the toenails. There are effective oral and topical prescription medications for this problem that should be discussed with a specialist. At times, if the nail is painful, it can then be removed.

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Bunion
Bunions:
A bunion is a deformity that results in a prominence of bone and deviation of the big toe. A bunion can get irritated and painful from shoe pressure. At times the pain can be constant and throbbing in nature and often the pain is felt deep in the joint. Bunions are most often hereditary; tight shoes don't cause bunions, but they can aggravate the problem.

Treatment Options:
Shoe modifications, pads, orthotics and nonsteroidal anti-inflammatory medications can be used to help relieve symptoms. Surgical correction is directed at realigning the big toe joint.

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Hammertoe
Hammertoes:
Hammertoes develop as a result of a contraction at the joint level in the lesser toes and an imbalance of the small muscles around the toe. They often are associated with corns that are painful in and/or out of shoes.

Treatment Options:
Shoe modifications, pads, orthotics and nonsteroidal anti-inflammatory medications can be used to help relieve symptoms. Surgical correction is directed at removing a section of bone and releasing the contraction at the joint.

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Corn


Callous
Corns and Calluses:
Corns and calluses typically result from a thickening of the skin secondary to an underlying prominence of bone. The source is typically a structural problem resulting in an increase of pressure. The body responds to this increase in pressure in the feet by building thick tissue that ultimately causes most people pain. This thickening skin often feels like a rock in your shoe.

Treatment Options:
Corns and/or calluses rarely go away without treating the source of the problem. Regular trimmings by a specialist and pads are treatments that can relieve the symptoms.




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Wart
Warts:
Warts are caused by a virus and are often mistaken for corns or calluses. These painful warts may affect walking and are unsightly as well. Usually, they appear on the bottoms of the feet (plantar warts) but sometimes occur on the toes or the top of the foot.

Treatment Options:
There are a number of effective ways to treat warts, depending on their size and location. They can be treated with medication or with surgical removal. Treatment may need to be repeated over the course of several weeks when using medications. At times, warts are resitant to treatment and have a tendency to reoccur.

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Pain at the Ball of the Foot:
There are multiple problems that could cause pain at the ball of the foot. If a sharp pain, numbness and/or burning is experienced to the toes, there may be an inflammed nerve between the metatarsal bones. If the pain is achy in nature and hurts mainly with walking and/or standing, there may be inflammation of the joint or pressure to the metatarsal bones. It may feel as if there is a stone in the shoe. A stress fracture can also cause pain at the ball of the foot.

Treatment Options:
Proper diagnosis of the problem must first be identified by a specialist. X-rays may need to be taken. Treatment is then directed to the problem accordingly and typically the sooner that people seek treatment for the problem, the greater chance for successful treatment with non-surgical measures. Most of these problems can be treated without surgery but occasionally surgical intervention may be needed.  

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Diabetes and Your Feet:
Particular attention is taken when addressing the patient with diabetes. The diabetic patient is at greater risk for foot problems and therefore special preventative foot care is imperative. General principles include using warm water to wash and using your elbow to check the temperature of the water or have another person check the temperature. Avoid over-the-counter medicated pads to self-treat corns and calluses. Inspect your feet and shoes regularly for any sources of irritation and/or pressure and never walk in bare feet.   A doctor should be contacted immediately if there are any signs of infection, increased pain, a break in the skin, drainage and/or color or temperature changes to the feet.   

Treatment Options:
Routine foot examinations and treatments by a podatrist are an important preventative step in caring for the diabetic patient. The potention for problems is often correlated with length of time of having been diagnosed with diabetes, blood sugar control, circulatory status and lower extremity sensation. Those patients with a history of diabetic foot problems are at greater risk and should be monitored regularly. A podiatrist should be seen for routine trimmings of the toenails and corns/calluses. Diabetic therapeutic shoes or custom shoes with insoles may be prescribed to accommadate and protect the feet.

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