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Treatment Plan for Plantar Fascitis

Symptoms or Conditions

Foot and ankle problems usually fall into the following categories:
• Acquired from improper footwear, physical stress, or small mechanical changes
    within the foot.
• Arthritic foot problems, which typically involve one or more joint.
• Congenital foot problems, which occur at birth, are generally inherited.
• Infectious foot problems, which are caused by bacterial, viral, or fungal disorders.
• Neoplastic disorders, usually called tumors, which are the result of abnormal
    growth of tissue and may be benign or malignant.
• Traumatic foot problems, which are associated with foot and ankle injuries.

Here is a list of symptoms and conditions in alphbetical order:

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z


Achilles Tendonitis
Pain at the back of the heel is associated with inflammation of the achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone. The inflammation is called achilles tendonitis. It is common among people who run and walk a lot and have tight tendons. The condition occurs when the tendon is strained over time, causing the fibers to tear or stretch along its length, or at its insertion on to the heel bone. This leads to inflammation, pain, and the possible growth of a bone spur on the back of the heel bone. The inflammation is aggravated by the chronic irritation that sometimes accompanies an active lifestyle and certain activities that strain an already tight tendon.

RECOMMENDATIONS: Purchase and maintain good shoes and replace them regularly. Stretch each foot and achilles tendon before and after exercise. If you have not exercised in a long time, consult your podiatric physician before starting a new exercise program. Dr. Hurless strongly recommends the Powerstep arch supports for everyday use. He also recommends the night splint for chronic pain. View Recommended Products

Ankle Pain
Ankle pain is characterized by irritation and inflammation of the ankle, a condition that often results from an inherently unstable ankle, trauma, or an athletic injury. About 60 percent of all foot and ankle injuries, reported by the US population older than 17, were sprains and strains of the ankle.

RECOMMENDATIONS: Rest, Ice, Compression and Elevation. See a podiatrist to rule out a fracture or a ligament tear. Immediate treatment often results in complete healing and a return to normal function. For a recent injury, we recommend cold therapy (the foot igloo), the steplite ankle walker, and biofreeze, a pain-reducing ointment. For ongoing, occasional ankle pain, we highly recommend arch supports, or the knit ankle support. For stability issues, I like the Flexlite sport hinged ankle brace, which is a favorite of my athletic patients.
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Arch Pain / Support
Arch pain or arch strain, refers to an inflammation and/or burning sensation at the arch of the foot. It's caused by an inflammation which can be brought about by excessive stretching of the plantar fascia, usually due to over-pronation. Left untreated, strain on the longitudinal arch continues and spurs may develop.

RECOMMENDATIONS: One of the most successful, and practical treatments recommended by podiatrists are orthotic devices, sometimes referred to as "arch supports". They take various forms and are constructed of various materials, usually best recommended by your doctor to address the severity of your problem. All orthotic devices serve to improve foot function and minimize stress forces that could ultimately cause foot deformity and pain.
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Arthritis

Arthritis, in general terms, is inflammation and swelling of the cartilage and lining of the joints, generally accompanied by an increase in the fluid in the joints. The feet are more susceptible to arthritis than other parts of the body because each foot has 33 joints than can be afflicted.

RECOMMENDATIONS: The objectives in the treatment of arthritis are controlling inflammation, preserving joint function(or restoring it if it has been lost), and curing the disease if that's possible. The control of foot functions with shoe inserts called orthoses, or with braces or specially prescribed shoes. Comfortable shoes with wide toe boxes and comfortable heel. View Recommended Products

Athletes Foot
Athlete's foot is a skin infection caused by a fungus, usually occurring between the toes or on the soles of the feet. The signs of athlete's foot can include dry skin, itching, scaling, and blisters. Blisters often lead to cracking of the skin. When blisters break, small raw areas of tissue are exposed, causing pain and swelling.

RECOMMENDATION: Daily washing of the feet with soap and water or quality anti-fungal soap; drying carefully, especially between the toes; and changing shoes and socks regularly to decrease moisture. Reduce perspiration by using foot powder in shoes, and wear shoes of leather or canvas, or perhaps nylon mesh, which allow good air circulation. Avoid walking barefoot and use shower shoes whenever possible. Dr.Hurless recommends Castellani Paint Modified for painful infections between the toes. See our Athlete's Foot Kit for the best, overall solution.
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Ball of Foot Pain (Metatarsalgia)
Ball of foot pain, more commonly known as Metatarsalgia, is a general term to denote a painful condition in the area just before the toes in the metatarsal region of the foot. These bones equally share the weight of a person during walking and daily activities. The most common cause of metatarsalgia pain is an imbalance in the long bones of the foot and is often caused from improper fitting footwear. Other causes include arthritis, diabetes, which can cause nerve-type pain in the foot, calluses or skin lesions that cause the weight on the foot be unevenly distributed, sports that place tremendous pounding on the ball of the foot, and shoes with small toe boxes that cramp your toes.

Relief and Prevention Add metatarsal pads to your shoes to spread the weight.
Wear shoes with wide toe boxes and mulitple insoles to increase or decrease the box space.
Use shoe insoles or inserts to help spread your weight more equally across the entire bottom of your foot. View Recommended Products

Blisters
Blisters are very painful and are typically caused by friction and appear as a clear, raised fluid-filled sac. They most frequently appear on the heel, on the toes, or even between the toes.

RECOMMENDATIONS: Properly fitted shoes are the best defense against blisters. The doctor may recommend foam inserts to make shoes feel more snug without creating more friction, or other protective padded products and gels/creams to relieve the pain often associated with blisters. View Recommended Products

Bunions
Bunions appear as a misaligned enlargement of the bone on the inside of the foot at the big toe. Bunions tend to be hereditary, but can be aggravated by shoes that are too narrow in the forefoot and toe.

RECOMMENDATIONS: Obtain shoes of greater length and width to provide space for the bunion. Wear softer shoes to decrease irritation and avoid pointed toe shoes. If the pain persists, see a podiatric surgeon who may prescribe orthoses (special shoe inserts) or recommend treatment alternatives, including surgical correction. For redness or soreness, the bunion care gel sleeve provides great relief. Most of our patients with bunions will use the gel spacers and the buion shield very successfully. View Recommended Products

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Calluses
Calluses are caused by friction and pressure from skin rubbing against bony areas when wearing ill-fitting shoes, poor quality shoes, or various foot deformities. If the first signs of soreness are ignored, calluses show up as a rough patch or area of skin.

RECOMMENDATIONS: In addition to emphasizing the importance of wearing properly fitted shoes, the doctor will recommend a variety of patches and creams to protect and soften the calluses as they heal. View Recommended Products

Cold Feet
Cold feet are caused by a restriction in the small blood vessels of the feet when the skin gets cold. Circulation problems in the feet, such as diabetes, can also produce the sensation of cold feet. Tight footwear also may inhibit circulation of the blood vessels of the lower extremity and cause cold feet.

RECOMMENDATIONS: The doctor recommends proper footwear as well as thick socks made of acrylic fiber, or a blend that will "wick" away moisture on an around the foot. He also recommends the Cold Foot Warming Packs which provide heat relief for cold, aching feet. View Recommended Products

Corns
A corn is a callus that develops from an accumulation of dead skin cells on the foot, forming thick, hardened areas. They usually form on the tops, sides and tips of the toes but in the case of soft corns, may develop between toes. They can become inflamed due to constant friction and pressure from footwear and can press on a nerve below, causing pain.

RECOMMENDATIONS: In addition to emphasizing the importance of wearing properly fitted shoes, podiatrists recommend a variety of cushion products and creams to protect and soften corns as they heal. Dr. Hurless also recommends the Silopad Gel Tubing for corns between the toes or on the top of toes when wearing shoes. Corn pads are most effective when wearing open toe shoes or going barefoot. The DPM cream is a must have for softening those hard, painful corns, and is only found in offices of podiatrists.
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Cracked Heels
Dry skin is the primary culprit behind cracked heels. While the dry skin itself is not dangerous, if untreated and bleeding and infection result, it could be a serious problem for diabetics and older patients. Dry, cracked heels often appear with increased age, poorly fitted shoes, diabetes, and dry indoor air.

RECOMMENDATIONS: Dry, cracked heels are best treated with quality therapeutic ointments and creams, avoiding lotions that may contain drying alcohol. Use doctor recommended footcare creams that are especially formulated for dry, cracked heels and calluses, especially at night. Dr. Hurless's wife swears by the DPM cream - she loves it. Wear specially designed socks that help absorption. Wear comfortable shoes with doctor recommended insoles or other corrective devices that reduce the risk of friction and rubbing against the injured heel. View Recommended Products

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Deformed Toes
If your toes are crooked, overlapping, or misshapen, chances are you have clawed toes, mallet toes, or hammertoes. Each condition has different causes but are all related and can be caused by muscle imbalance from an unnatural walk, bunions, a very long second toe, or ill-fitting shoes.

RECOMMENDATIONS: Dr. Hurless' advice on the easiest way to avoid these painful toe problems is to make sure you wear shoes with a wide toe box to avoid crowding of the toes. Shoe inserts, orthotics, and products to keep toes separated, such as gel or foam toe separators and toe caps are also effective in providing relief from pain and discomfort.
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Diabetic Feet
Diabetes is marked by the inability to manufacture or properly use insulin, and impairs the body's ability to convert sugars, starches into energy. The long-term effects of elevated blood sugar (hyperglycemia) are damaging to the feet as well as the eyes, heart, kidneys, nerves and blood vessels. If your doctor has diagnosed you with diabetes, you know that your feet need special attention.

RECOMMENDATIONS: Diet and exercise, medications, careful blood sugar control, and the following common sense steps can help you to live a longer, healthier life with diabetes. • Bathe your feet daily. Wash carefully, with warm water and soap. Make sure you dry completely between the toes. • Trim your toenails with a nail file and file straight across. • If the skin on your feet is dry, a moisturizing cream will help. • Inspect your feet daily. Be on the lookout for cuts, red spots, warm or hot spots, discolorations or any other abnormalities. • Never go barefoot. • Finally, make sure your shoes fit right. Too tight shoes can cause blisters and calluses, too loose can also cause ulcers as they rub against the foot. Make sure socks aren’t rubbing either. View Recommended Products

Diabetic Neuropathy
Of the 16 million Americans with diabetes, 25% develop foot problems related to the disease. This is primarily due to a condition called neuropathy. Diabetic Neuropathy is a complication of diabetes that affects the nerves. The most common type of diabetic neuropathy is called peripheral neuropathy and affects the peripheral nerves. Peripheral nerves are the nerves that go out from the brain and spinal cord to the muscles, skin, internal organs, and glands. Peripheral neuropathy impairs proper functioning of these sensory and motor nerves. The most common symptoms of neuropathy include numbness and loss of feeling, usually in the feet and hands.

Diabetic Neuropathy can cause insensitivity or a loss of ability to feel pain, heat, and cold. Diabetics suffering from neuropathy can develop minor cuts, scrapes, blisters, or pressure sores that they may not be aware of due to the insensitivity. If these minor injuries are left untreated, complications may result and lead to ulceration and possibly even amputation. Neuropathy can also cause deformities such as Bunions, Hammer Toes, and Charcot Feet.

Treatment and Prevention The most successful way to prevent diabetic neuropathy from occurring is to control the diabetes. It is important to maintain blood sugars at normal levels and maintain normal blood pressure. In addition to this, it is important to:

Stop Smoking
Limit the amount of alcohol you drink
Have regular physical exams
Have regular blood and urine tests
Exercise regularly
Wear footwear designed for diabetics. Look for shoes with high, wide toe boxes, removable insoles for proper fitting with custom orthotics. View Recommended Products

Dry Skin / Skin Care
Dry skin, called xerosis by medical professionals, occurs when the outer layer of skin is deprived of moisture. The outer cells no longer form a good barrier, resulting in cracks, rough appearance, itching and flaking. In addition, decreased protection by the outer layer increases the chance of developing a bacterial or fungal infection. If left untreated, dry skin of the foot can progress to cause painful heel fissures, cracks between the toes, or athletes foot. In patients with diabetes, dry skin can increase the chance of developing an infected skin ulcer.

RECOMMENDATIONS: Dry skin is best treated with quality therapeutic ointments and creams, avoiding lotions that may contain drying alcohol. Use doctor recommended footcare creams especially at night, and wear specially designed socks that help absorption. Wear comfortable shoes with doctor recommended insoles or other corrective devices that reduce the risk of friction and rubbing against the dry skin. View Recommended Products

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Economy Class Syndrome
A medical condition (also known as deep-vein thrombosis)associated with inactivity during air travel causing blood clots and embolism formation.

RECOMMENDATIONS: Avoid sitting or standing without moving for prolonged periods of time. When flying, stretch your legs often and get up to walk when possible. When driving, stop to stretch and walk every hour or so. Avoid wearing restrictive clothing or garters around your thighs. Wear support socks or stockings that can provid pressure to help pump fluid and reduce swelling. View Recommended Products

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Flat Feet
Flat feet can be present at birth, an early age, or can be hereditary. All too often, they develop as a result of foot abuse, including wearing shoes that do not provide proper arch support, standing or walking for long periods of time in high heels, or aging or heavy strain place on the feet. When the arch is fully collapsed or rolls inward, you have flat feet, meaning you are missing crucial arch support. People with flat fleet must therefore shift pressure from walking to other parts of the foot, which can cause intense pain. If left untreated, flat feet not only cause pain, but can lead to other more serious foot and lower body joint problems.

RECOMMENDATION FOR TREATMENT: Flat feet can be treated with supportive shoes and orthotics for the shoes that support the arch. Footwear with a firm heel counter is recommended for extra support and stability. View Recommended Products

Foot Odor / Smelly Feet
Plagued by embarrassing foot odor? If so, you may be suffering from hyperhidrosis, a condition characterized by excess sweating in the hands, feet, armpits or groin area. While it is not dangerous, it can produce athlete's foot and/or toenail fungus, and an annoying odor.

RECOMMENDATION: Keep your feet clean, dry and cool such as by wearing specialty socks with fibers designed to keep perspiration away from the foot.Shower regularly with an anti-fungal soap and use foot powders and sprays designed to keep feet dry, odor-free, and recommended by your podiatrist. View Recommended Products

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Hammertoes
A condition, usually stemming from muscle imbalance, in which the toe is bent in a claw-like position. It occurs most frequently with the second toe, often when a bunion slants the big toe toward and under it, but any of the other three smaller toes can be affected.

RECOMMENDATIONS: The easiest way to avoid these painful toe problems is to make sure you wear shoes with a wide toe box to avoid crowding of the toes. Shoe inserts, orthotics, and products to keep toes separated, such as gel or foam toe separators and toe caps are also effective in providing relief from pain and discomfort. View Recommended Products

Heel Pain and Heel Spurs
Heel pain can be described as an irritation of the ligament running along the bottom of the foot and attaching to the heel,sometimes disabling, can occur in the front, back, or bottom of the heel. Heel pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from injury, or a bruise incurred while walking, running, or jumping on hard surfaces; wearing poorly constructed footwear; or being overweight.

TREATMENT: A podiatrist can evaluate arch and heel pain and may prescribe customized shoe inserts called orthoses to help alleviate the pain. A variety of heel cushions and pads may also be recommended. Wearing cushioned shoes with an elevated heel may decrease pressure and alleviate some pain. Dr. Hurless highly recommends the 3/4 length Powerstep supports to his patients and customers. He finds that many patients find this as an affordable solution to custom orthotics. View Recommended Products

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Ingrown Toenail
Ingrown nails, the most common nail impairment, are nails whose corners or sides dig painfully into the soft tissue of nail grooves, often leading to irritation, redness, and swelling. Usually, toenails grow straight out. Sometimes, however, one or both corners or sides curve and grow into the flesh. The big toe is usually the victim of this condition, but other toes can also become affected.

RECOMMENDATION FOR TREATMENT: The simplest way to eliminate and avoid ingrown toenails is to proper trim your toenails. Toenails should be trimmed regularly but not cut too short. Using a safety nail clipper, cut the nails straight across, being sure that the nail corner is visible. To avoid irritating an ingrown toenail, wear comfortable, well fitting shoes with plenty of room in the toe box.
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Mortons Neuroma
A neuroma is a painful condition, also referred to as a “pinched nerve” or a nerve tumor. It is a benign growth of nerve tissue frequently found between the third and fourth toes that brings on pain, a burning sensation, tingling, or numbness between the toes and in the ball of the foot.

The principle symptom associated with a neuroma is pain between the toes while walking. Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe. The vast majority of people who develop neuromas are women.

The symptoms are characterized by pain in the forefoot and between the toes,tingling and numbness in the ball of the foot, swelling between the toes, pain in the ball of the foot when weight is placed on it.

RELIEF AND PREVENTION
• Wear shoes with plenty of room for the toes to move, low heels, and laces or buckles that allow for width adjustment.
• High heels should be avoided whenever possible because they place undo strain on the forefoot and can contribute to a number of foot problems.
• Resting the foot and massaging the affected area can temporarily alleviate neuroma pain. Use an ice pack to help to dull the pain and improve comfort.
• For simple, undeveloped neuromas, a pair of thick-soled shoes with a wide toe box is often adequate treatment to relieve symptoms, allowing the condition to diminish on its own.
• Use thick, shock-absorbent soles and proper insoles that are designed to keep excessive pressure off of the foot. View Recommended Products

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Plantar Fasciitis
n irritation of the ligament running along the bottom of the foot and attaching to the heel. Condition is sometimes worse in the morning upon arising or after inactivity, sometimes disabling, can occur in the front(arch area), back, or bottom of the heel. This pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from injury, or a bruise incurred while walking, running, or jumping on hard surfaces; wearing poorly constructed footwear; or being overweight.

What Is Plantar Fasciitis? Plantar fasciitis is an inflammation of the band of tissue (the plantar fascia) that extends from the heel to the toes. In this condition, the fascia first becomes irritated and then inflamed-resulting in heel pain.

The symptoms of Plantar Fasciitis are:
• Pain on the bottom of the heel
• Pain that is usually worse upon arising
• Pain that increases over a period of months

People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they've been sitting for long periods of time. After a few minutes of walking the pain decreases, because walking stretches the fascia. For some people the pain subsides but returns after spending long periods of time on their feet.

Causes of Plantar Fasciitis The most common cause of plantar fasciitis relates to faulty structure of the foot. For example, people who have problems with their arches-either overly flat feet or high-arched feet-are more prone to developing plantar fasciitis.

Wearing non-supportive footwear on hard, flat surfaces puts abnormal strain on the plantar fascia and can also lead to plantar fasciitis. This is particularly evident when a person's job requires long hours on their feet. Obesity also contributes to plantar fasciitis.

Diagnostic imaging studies such as x-rays, a bone scan, or magnetic resonance imaging (MRI) may be used to distinguish the different types of heel pain. Sometimes heel spurs are found in patients with plantar fasciitis, but these are rarely a source of pain. When they are present, the condition may be diagnosed as plantar fasciitis/heel spur syndrome.

Treatment Options Treatment of plantar fasciitis begins with first-line strategies, which you can begin at home: Stretching exercises. Exercises that stretch out the calf muscles help ease pain and assist with recovery. Avoid going barefoot. When you walk without shoes, you put undue strain and stress on your plantar fascia. Ice. Putting an ice pack on your heel for 10 minutes several times a day helps reduce inflammation. Limit activities. Cut down on extended physical activities to give your heel a rest. Shoe modifications: Wearing supportive shoes that have good arch support and a slightly raised heel reduces stress on the plantar fascia. Your shoes should provide a comfortable environment for the foot. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may help reduce pain and inflammation. Lose weight. Extra pounds put extra stress on your plantar fascia.

If you still have pain after several weeks, see your podiatric surgeon, who may add one or more of these approaches:

Padding and strapping. Placing pads in the shoe softens the impact of walking. Strapping helps support the foot and reduce strain on the fascia.

Orthotic devices. Custom orthotic devices that fit into your shoe help correct the underlying structural abnormalities causing the plantar fasciitis.

Injection therapy. In some cases, corticosteroid injections are used to help reduce the inflammation and relieve pain. Removable walking cast. A removable walking cast may be used to keep your foot immobile for a few weeks to allow it to rest and heal.

Night splint. Wearing a night splint allows you to maintain an extended stretch of the plantar fascia while sleeping. This may help reduce the morning pain experienced by some patients. We carry the best night splint on the market. See below.

Physical therapy. Exercises and other physical therapy measures may be used to help provide relief.

Although most patients with plantar fasciitis respond to non-surgical treatment, a small percentage of patients may require surgery. If, after several months of non-surgical treatment, you continue to have heel pain, surgery will be considered. Your podiatric foot and ankle surgeon will discuss the surgical options with you and determine which approach would be most beneficial for you.

Long-term Care No matter what kind of treatment you undergo for plantar fasciitis, the underlying causes that led to this condition may remain. Therefore, you will need to continue with preventive measures. If you are overweight, it is important to reach and maintain an ideal weight. For all patients, wearing supportive shoes and using custom orthotic devices are the mainstay of long-term treatment for plantar fasciitis.

Advancepodiatricmedicalgroup.com would like to thank the ACFAS for their information and facts. The ACFAS provides this information as an educational reference and as a public service. The material is derived from the current medical knowledge on the topics listed. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

RECOMMENDATION: A podiatrist can evaluate arch and heel pain and may prescribe customized shoe inserts called orthoses to help alleviate the pain. Wearing cushioned shoes with an elevated heel may decrease pressure and alleviate some pain. For his patients, Dr. Hurless recommends rest, supportive shoes, ice, and the 3/4 length Powerstep supports. Many of patients find this as an affordable solution and will purchase several pairs for different shoes. Another very effective product for Plantar Fasciitis that is worn while sleeping is the night splint. View Recommended Products

Post Operative and Would Care
The type of foot surgery performed determines the length and kind of after- care required to assure that your recovery from surgery is rapid and uneventful. The basics of all postoperative care involves to some degree each of the following: rest, ice, compression, and elevation. Bandages, splints, surgical shoes, casts, crutches, or canes may be necessary to improve and ensure a safe recovery after foot surgery. A satisfactory recovery can be hastened by carefully following instructions from your podiatric physician.

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Sweaty Feet
Suffering from sweaty feet causing wet socks and shoes and embarrassing foot odor? If so, you may be suffering from hyperhidrosis, a condition characterized by excess sweating in the hands, feet, armpits or groin area. While it is not dangerous, it can produce athlete's foot and/or toenail fungus.

RECOMMENDATION: Keep your feet clean, dry and cool such as by wearing specialty socks with fibers designed to keep perspiration away from the foot.Shower regularly with an anti-fungal soap and use foot powders and sprays designed to keep feet dry and recommended by your podiatrist View Recommended Products

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Toenail Care
Who doesn't want more attractive toes and beautiful toenails? Toenails, however, often serve as barometers of our health. Pitted nails, ingrown nails, discolored, infected nails can be an embarrassment when wearing sandals, flip-flops and open toe shoes. These conditions, often painful and uncomfortable, should be evaluated and treated by a podiatrist who can diagnose the ailment, and then provide appropriate treatment or prescribe medication.

RECOMMENDATIONS: Don't apply polish to discolored nails if you suspect an infection. Wear shoes that fit well and are made of materials that breathe. Clean and dry feet resist disease. Shoe, socks, and hosiery should be changed more than once daily. Clip toenails straight across, and disinfect instruments used to cut nails, including home pedicure tools. View Recommended Products

Toenail Fungus
Fungail Nail, or onychomycosis, is an infection of the bed and plate underlying the surface of the nail, and is caused by a group of fungi called dermophytes, which easily attack the nail, thriving off keratin, the nail's protein substance. When the organisms take hold, the nail may become thicker, yellowish-brown or darker in color, and foul smelling.

RECOMMENDATIONS Clean, dry feet resist disease; a strict regimen of washing the feet with anti-fungal soap and water is the best way to prevent infection. Toenails should be clipped straight across so that the nail does not extend beyond the tip of the toe as well as daily use of a quality foot powder. For infected toenails, Dr. Hurless strongly recommends Tineacide, also a proven favorite of his patients. View Recommended Products

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Warts
Warts are one of several soft tissue conditions of the foot that can be quite painful. They are caused by a virus, which generally invades the skin through small or invisible cuts and abrasions. 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.

RECOMMENDATION: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.
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