CONDITIONS AND TREATMENTS

SELF-ASSESSMENT QUIZ

Nail fungus, otherwise known as Onychomycosis, has been recognized as being a very difficult type of fungal infection to treat. It is a cosmetic condition that most often affects the toenails. Risk factors for nail fungus include increased age, male gender, diabetes, nail trauma, hyperhydrosis, peripheral vascular disease, athlete's foot, immunodeficiency, poor hygiene, and chronic exposure of the nails to water. There are many species of fungus that can infect the nail. Often in nail infections several types of fungus will be present at the same time. All nail fungus infections result in thickened, discolored, and distorted nails.

Nailfungas

 

 

Bunions are misaligned big toe joints that can become swollen and tender, causing the first joint of the big toe to slant outward, and the second joint to angle toward the other toes.
Bunions are misaligned big toe joints.  

 

 

Flat feet are a common condition. In infants and toddlers, the longitudinal arch is not developed and flat feet are normal. The arch develops in childhood, and by adulthood, most people have developed normal arches.

 Flat feet  

 

Heel Spurs
Plantar fasciitis (or heel pain) is commonly traced to an inflammation on the bottom of the foot. Our practice can evaluate arch pain, and may prescribe customized shoe inserts called orthoses to help alleviate the pain.

Heel Spurs  

 

Hammertoes
Hammertoe is a deformity of the second, third or fourth toes. In this condition, the toe is bent at the middle joint, resembling a hammer. Left untreated, hammertoes can become inflexible and require surgery.

Hammertoes 

 

Ingrown nails when the nail grows into the flesh instead of over it -- usually affect the toenails, particularly the big toe. People with curved or thick nails are most susceptible, although anyone can suffer from ingrown nails as a result of an injury, poorly fitting shoes, or because of improper grooming of the feet. Diabetics and people with vascular problems need to be aggressive in treating and preventing minor foot ailments such as an ingrown toenail because they can develop into serious medical problems such as loss of a limb.

Ingrown nails 

Warts normally grow out of the skin in cylindrical columns. These columns do not fuse when the wart grows on thin skin such as the face. On thicker skin, the columns fuse and are packed tightly together giving the surface the typical mosaic pattern. Black dots can sometimes be seen in a wart. These are actually blood vessels that have grown rapidly and irregularly into the wart and have thombosed or clotted off.

Wart                                                                                                                   



The Foot Health Foundation of America offers this simple quiz to pinpoint any warning signs of foot and ankle problems: (See bottom for scoring.)

1.
 
How much time do you spend on your feet each day?
 
  a. less than 2 hours 0
  b. 2 - 4 hours 1
  c. 5 - 7 hours 2
  d. 8 hours or more 3
 
 
2.
 
How old are you?
 
  a. under 40 0
  b. between 40 and 59 1
  c. 60 and over 2
 
 
3. How would you describe your weight?  
  a. less than 20 pounds overweight or at ideal weight 0
  b. 20 - 39 pounds overweight 2
  c. 40 or more pounds overweights 3
 
 
4. Have problems with your feet or ankles ever prevented you from participating in:  
  - leisure/sports activities  
  a. yes 2
  b. no 0
  - work activities?  
  a. yes 3
  b. no 0
 
 
5. Have you ever received medical treatment for problems with your feet and/or ankles?  
  a. yes 3
  b. no 0
 
 
6. Do you regularly wear heels two inches or higher?  
  a. yes 2
  b. no 0
 
 
7. What types of exercise do you engage in or plan to engage in? (check all that apply)  
  a. walking 1
  b. field sports (e.g., softball, golf) 2
  c. winter sports (e.g., skiing, ice skating) 2
  d. court sports (e.g., tennis, basketball) 3
  e. aerobics 3
  f. running 3
  g. none (if you shose answer g, skip to question 11) 0
 
 
8. Do you have the appropriate shoes for your sport or sports?  
  a. yes 0
  b. no 3
 
 
9. Do you experience foot or ankle pain when walking or exercising?  
  a. rarely 1
  b. sometimes 2
  c. often 3
  d. never 0
 
 
10. Do you:  
  - exercise in footwear that is more than one year old or in hand-me-down footwear?  
  a. yes 3
  - stretch properly before and after exercising?  
  a. yes 0
  b. no 3
 
 
11. Do you:  
  - have diabetes?  
  a. yes 3
  b. no 0
  - experience numbness and/or burning in your feet?  
  a. yes 3
  b. no 0
  - have a family history of diabetes?  
  a. yes 2
  b. no 0
 
 
12. Do You: (Mark all that apply)  
  - sprain your ankles frequently (once a year or more) or are your ankles weak?  
  a. yes 2
  b. no 0
  - have flat feet or excessively high arches?  
  a. yes 2
  b. no 0
  - experience pain in the achilles tendon or heel or have shin splints
(pain in the front lower leg)?
 
  a. yes 2
  b. no 0
  - have corns, calluses, bunions or hammertoes?  
  a. yes 3
  b. no 0
  - have arthritis or joint pain in your feet?  
  a. yes 3
  b. no 0
  - have poor circulation or cramping in your legs?  
  a. yes 3
  b. no 0

 

Scoring

0-20 Points: Congratulations! Your feet and ankles are very healthy and you can maintain your active lifestyle and/or exercise regimen. With proper attention and care your feet and ankles should remain healthy; however, you may want to schedule an annual exam with a podiatric physician to ensure their long-term health. Furthermore, if you scored points for questions 4, 5, 9, 11 or 12 you should consider visiting a podiatric physician in the near future for a check-up.

21 - 40 Points: Pay Attention. Your feet and ankles are showing signs of wear, placing you in the moderate risk category. Although you can continue your normal activities, you should strongly consider visiting a podiatric physician for a check-up. If you participate in a rigorous exercise regimen on a regular basis or plan to - or if you scored points for questions 4, 5, 9, 11 or 12 - you should visit a podiatric physician soon to safeguard your foot and ankle health.

41 Points or Higher: Caution. Your feet and ankles are at high risk for long-term medical problems and you should contact our office as soon as possible. If you exercise, you should pay particular attention to your feet and ankles until you are seen by our practice. If you have not begun exercising, it is advisable to contact our office before undertaking any type of exercise.

Now that you've assessed the health of your feet and ankles, you are armed with knowledge that will enable you to maintain their health over a lifetime.

Please note: Even if you scored well, this self assessment is not a substitute for a physical exam.