That is the consequence of a modification of big toe’s nail (in relation with repeated shocks, fungus infection or lack of local bearing) involving a nail tip (spur) which hurts creating a deep wound.
This can be very painful particularly with closed shoes, with a high risk of infection.
A little intervention under local anesthesia (without pain) in my practice can solve this problem durably and even permanently.
I use to be very careful keeping an aestheting look of your nail and try to give you an appointment quickly to relieve your pain.
An intervention requires 40 to 60 minutes.
Foot problems with children and teenagers
Serious and evident foot deformations are diagnosed since birth or even before with obstetrical echography, their care is assured very soon in hospitals with specialized departments.
Frequent falls and other ongoing disorders after walking acquisition, generaly since the age of 3, can affect lower limbs growth with serious risk of definitive consequences as teenagers or in adulthood.
Therefore screening and treating walking malpositions in your children provides long-term solutions for many dysfunctions with reeducation.
Usually fast progress is noticed since children feet are growing.
Follow-up consists in defining a reeducation program with every progress and the monitoring duration.
Foot deformities can exist since birth but usually appear lifetime..
Deformities are associated with unsightliness, but also pain and it can be quite hard to find shoes… a real and daily disability.
Different deformities such as hallux valgus (big toe deviation), claw toes or even very complex deformations can appear in some special anatomically-shaped feet depending on many factors such as footwear used lifetime, high flexibility, cumulated physical activity.
Careful medical examination is necessary to identify your problem, in order to prescribe passive and active reeducation with suitable footwear.
=> That allows improvement without surgery and without serious repercussions .
Follow-up involves determining your improvements and guiding your treatment.
« Diabetic » Foot
Contrary to conventional wisdom, this definition doesn’t means every patient with diabetes mellitus is sentenced to develop feet pathologies.
This concerns about 15% of people with diabetes mellitus causing a highly risk of wounds in their feet, longer than usual to heal (over 4 weeks), with a very high risk of infection up to gangrene and dramatic limb amputation.
A severe nerve affection called « Charcot foot » can lead very complex and permanent deformations.
Patients with long-time diabetes
(or not !) who lost foot sensibility and/or have artery disease, with feet deformities have a high risk of damage emerging and severe or dramatic consequences.
For that reason, foot wounds occurence in these patients is always an emergency.
Screening and specialized care allows for early detection of vulnerable feet, for specialized lifetime monitoring, footwear adjustment and frequently medical devices prescription in order to prevent severe affections, or new and most disabling amputation for those who unfortunately had suffered that consequence.
Painful feet are very disabling, resulting in loss of freedom and causing anxiety.
Many causes can be involved, long-standing pain (for months or even years) are quite long to remove even with the best care.
Sometimes painful feet are symptoms of inflammatory or neurological affections needing specialized check-up and care.
Careful clinical examination and understanding can avoid radiological examination, sometimes expensive or useless, and delaying diagnosis, behind longer and harder recovering.
Solutions are available, without invasive procedure or medication, mostly insuccessful.
POSTURE DEFECTS AND THEIR CONSEQUENCES
Our feet are the basis of our posture, in combination with ankles they are necessary to some major functions : moving through space, alternatively carry the body weight, establishing our postural balance.
Long-time malfunction in feet and/or ankle can provide mechanical pathologies in upper joints (knee, hip) and even in pelvis and spine, from painful muscle contractures until degenerative arthritis.
Sometimes a difference in length between lower limbs can worsen the problem.
For that reason your family doctor, your rheumatologist or your osteopath can refer you to me for symptoms that don’t seem involved with your feet.
Suitable Devices can relieve your symptoms and even prevent definitive joint damage, requiring surgery in future.
Careful postural check-up may detect the presence of anomalies, making it possible to prescribe clear and efficient devices.