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16/Jan/2021

What is Neuroma?

A neuroma is mostly benign i.e non-cancerous in nature. A neuroma is an overgrowth of tumor or nerve tissue, however it is often painful and occurs mostly between third and the fourth toes. Neuroma is more painful while walking and the only way to stop the pain at that moment is to stop walking at that time. This means that a neuroma can be major hindrance while walking. The pain felt is often described by patients as having a stone in between their feet. The pain is accompanied by a burning sensation or mere numbness in the area.

Causes of Neuroma:

Neuromas are commonly found in women. The exact cause for this condition is unknown. Yet the major factors contributing to the formation of a neuroma can be:

  • Pressure, stress or trauma can lead to inflammation of a nerve tissue.
  • Improper shoes like pointed toe shoes and high heels can increase the pressure at the forefoot area. Pointed shoes can squeeze the toes in a problematic fashion.
  • Natural deformities like flat foot or high arched foot again can lead to the formation of a neuroma.

How to Treat Neuroma:

The best way to never develop a neuroma is to wear proper shoes. It is always a good idea to wear roomy shoes. Avoid high heels. Actually shoes that are flat should be a choice for you to avoid not only the growth of neuromas but it can actually keep many other hoot problems at bay. It’s best to see your podiatrist immediately, if you are already affected with a neuroma. Neuromas can cause excruciating pain if left untreated. Wearing orthotic insoles and over the counter shoe pads always prove helpful. To relieve the pain immediately try massaging the area gently and put an ice pack. Never ever use a heating pad, this might alleviate the swelling.

The severity of the neuroma determines the mode of treatment. If detected early, then there is low chance that surgery will be done. But if has turned into a full-fledged tumor then surgical removal of it is the only way out. When detected early chances are that the problem will get resolved on its own provided pressure is relieved from the affected area. Anti-inflammatory drugs and cortisone injections are prescribed to relieve the acute pain. Surgery entails removal of inflamed and enlarged nerve. It may take a few weeks to completely recover post the operation.

If these neuroma foot solution can’t help you, talk to our podiatric surgeon. We can assure the best treatment for you in UAE!


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16/Jan/2021

What is Heel Spur?

If you have read our last article about plantar fasciitis, you would know this is one of the most common foot pain people face in their life. Many people who have plantar fasciitis have also encountered with heel spur. Heel spur is again one of most commonly found problems found in foot and it affects as good as 10% of the population. Though all of them do not feel the pain and only half of them face the pain due to heel spur. Though this syndrome is more common among people who are older than 40 years but can be found at any age.

Heel spur is the bony outgrow of the heel bone, better known as Calcaneus. Because of this people feel pain at certain areas of their feet. Let’s discuss about different causes of heel spurs.

Causes of Heel Spurs

The root is deposit of calcium on the underside of heel bone. There are multiple reason behind this deposit, which are,

  • Strain on foot muscles or ligaments
  • Stretching of plantar fascia
  • Repeated tearing of the membrane covering heel bone

There are few actions which might increase the possibility of heel spur, for example,

  • If you are overweight
  • If you are running or jogging on hard surface
  • If you are standing or walking for a long time
  • Bad shoes which do not provide good support to your arch
  • If you have flat feet or high arch and you are not taking proper actions to resolve them
  • If you are suffering from diabetes
  • Age. The reason heel spur is more common among older people is, as you age, your plantar fascia tend to lose its flexibility which thins the heels’ protective fat pad.

Natural Treatment of Heel Spur:

Non-surgical Treatment:

If you have read our Plantar Fasciitis article, you are almost there. All measures mentioned in that article is almost same here.

  • Rest & exercise: take proper rest. Don’t put too much pressure on the feet. But though you can definitely do some exercise which will benefit you. Exercises like calf stretch or plantar fascia stretch will also help when it comes to heel spur.
  • Ice: Do apply ice on your feet 3-4 times a day. Keep rolling the ice on the feet rather than keeping it at one place.
  • Orthotic shoe insert: You can also insert an orthotic shoe insert in your shoes, this will give you some relief.

Even after continuing these your pain is not reduced (which is very unlikely), then only go for surgery. Do consult with your doctor or with us before that.

Surgical Treatment of Heel Spur:

90% people get cure by non-surgical treatment but if you still feel the pain, you need to go through surgery. Do contact us for any such situation. The surgery for heel spurs are mainly of two types,

  1. Release of Plantar fascia
  2. Release of the spur

Though this might be a little expensive but will give you quick relief.


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16/Jan/2021

What is Plantar Fasciitis?

Plantar Fasciitis is one of the most common heel pains. Plantar Fasciitis is basically inflammation of Plantar Fascia which is strong band of tissue, pretty much similar to a ligament. Follow the picture below for better understanding.

This is a very common problem among athletes all around the world but not so uncommon among common people as well. Believe it or not every month a million people search online about Plantar Fasciitis which proves it’s a major problem for many people. 10% people have this disorder at some point of their life and many of them are not aware of this.

Causes of Plantar Fasciitis

Let’s come straight to the point. You would want to know the probable cause of Plantar Fasciitis so that you can stay away from this.
In a nutshell whatever stretches your Plantar Fascia can be the root cause of Plantar Fasciitis. For example,

  • If you run, walk on a hard surface for a long time (if you jog every morning on a hard surface, you might want to recheck with your podiatrist).
  • If you are suffering from flat feet. Not sure what this is? Read this article of ours.
  • If you are overweight which means you might be putting too much pressure on your foot.
  • You wear shoes which are not comfortable and do not provide proper arch support.
  • If you have a tight Achilles tendon. What is this, check the photo below

Plantar-Fascia

Treatment of Plantar Fasciitis

So this can be divided in two parts, these are Non-surgical treatment and surgical treatment.

Natural Treatment of Plantar Fasciitis
  • Rest: Take proper rest. Stop doing activities which increases the pain. You might want to stop running for few days. But this doesn’t mean you should sit idle, there are few exercise which you should do in order to get rid of the problem
  • Calf stretch: Follow the position of the photo below. Now push your hips to the wall but in a controlled manner. Try to hold it for 10 seconds. Repeat this 20 times for each foot.

Calf-stretch

  • Plantar fascia stretch: Follow the position of the photo below. Now try to pull down your toe in a controlled manner. Hold the position for 10 seconds. Now repeat 20 times for each foot.

Plantar-fascia-stretch

  • Apart from these two there are several other exercises for Plantar Fasciitis. Some are given below

plantar-fasciitis

  • Apply ice to your feet. This can be done 3-4 times a day. Try to roll the ice on the feet instead of keeping it fixed.
  • Medication: There are certain medicines and steroids available for the pain and inflammation. But we would recommend that you talk to your doctor first before taking them. Feel free to contact us.
  • Shoes: Try wearing shoes which will support your arch. If confused you can talk to your podiatrist, else you can contact us.
Surgical Treatment of Plantar Fasciitis:

Surgery is only recommended when your pain has not eased even after 12 months of treatment. If you are facing such issue feel free to reach out to us. There are mainly two kind of surgeries performed which are,

  1. Gastrocnemius recession
  2. Plantar fascia release

Though surgeries are proved to give good results but in some cases there can be certain nerve damage problem.


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16/Jan/2021

What are Corns and Calluses?

Corns and calluses are basically thickening of skin caused by friction and pressure in our feet. Corns are mostly round in shape and they develop from within deep layers of the skin below, which can be painful at times.

Causes of Corns and Calluses?

Corns develop mostly due to wearing tight fitted shoes that restricts the blood flow. Corns can be either had or soft depending upon the area they grow. Hard corns are formed mostly on the toes (pinky toe) and the softer ones can be seen in between the toes (usually between the 4th and 5th toes). It’s the sweat that keeps them moist and hence soft and that is the reason why they might become infectious sometimes.

Hammertoe and other deformities of the toe can lead to the formation of these.

Calluses on the other hand grow on the underside of our feet. Too much walking or running is one of the reasons for their formation. They are broader in area and are mostly non painful.

Salicylic acid is used in most products for removal of corns and calluses. Salicylic acid is a keratolytic and it dissolves the protein keratin which forms the layers in a corn or callus.

Consult with Your Local Podiatrist to Remove Corns and Calluses

A podiatrist can pare corns and calluses with a scalpel if salicylic acid proves to be non-effective. Sometimes repeated and regular trimming sessions are required. You can visit our podiatry clinic – HSMC for the same. Once it is trimmed, it is advisable to clean the area with a pumice stone every week and keep it moisturized to prevent it from growing again.

Podiatrist can also advice for engineered foot orthopedic insoles so that pressure on the foot does not pinpoint on the callus. Sometimes this can be taken care of by cushions and footpads.

Corns and calluses should not be self-operated, more so by patients of diabetes and people above the age of 65.

Corns and calluses are not serious problems. Most of them can be treated with medical treatment. Surgery is rarely required until there is an infection. Surgery can also be performed in certain cases where bones are sticking out or to correct any other foot deformity.


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16/Jan/2021

Arch pain is a very broad category which is consist of different types of pains. Though anyone might face arch pain but it’s more common among older people and women. Arch is basically comprised of tarsal and metatarsal bones and some ligaments and tendons. When any of these bones or ligaments or tendons are injured or weakened or stretched you might feel a pain in the arch which is commonly termed as Arch pain. This is a very normal phenomena and almost 10% people suffers for this. So if you fall among those 10%, nothing to worry, many people face it and cure it as well.

Causes and Prevention:

Causes of Arch Pain:

There are different types of Arch pain and for different types of Arch pain causes are also different. We have already covered few types of arch pain which you can refer to but trying to cover almost all type of arch pain here.

  1. Plantar Fasciitis – Check this article
  2.  Stress Fractures – Few bones can be damaged by overuse. So if you are running on a hard surface, this is time when you should recheck and rethink.
  3. Ligament Injury – Apart from bones ligaments are also equally important. Sometimes because of some accident, or some unwanted activities, for example landing awkwardly or twisting of the heel can lead to ligament injury.
How to Prevent Arch Pain:
  • Don’t be an overweight
  • Don’t run on hard surface
  • Don’t walk or stand too long
  • Don’t wear shoes which are not comfortable, don’t wear high heel shoes
Treatment of Arch Pain:

Most of times arch pain doesn’t become very serious and can easily be treated without any surgery. Firstly check out this plantar fasciitis page where we have mentioned different exercise you can do to reduce arch pain and improve your arch. Few other important treatments would be

  1. Use orthotic or shoe inserts
  2. Start using arch support
  3. Wear comfortable shoes
  4. As mentioned in the other article, do continue these exercises
  5. Apply ice 3-4 times on your arch.

After doing all these activities ideally you should feel some relief and after a certain time your arch pain should be gone. If that doesn’t happen do contact with our UAE based podiatrists and we will guide you to the next step.


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16/Jan/2021

Diabetic Foot Problems

High blood sugar levels in our body can lead to nerve damage and poor blood circulation. Diabetics related foot problems can be a nightmare if not treated at the proper time. Even a small infection can take a very longer time to heal because of poor blood circulation. The situation can turn worse to become a gangrene and then it might be necessary to amputate that part off the body. So it’s better that we become cautious at an early stage.
Diabetics related problems in the foot can lead to loss of sensation to heat, cold or touch. There can be thickening of toe nails, blisters and ulcers, warts and corns in the affected part of the feet. There might be a burning sensation as well as pain in our foot.

Diabetic Foot Care Tips

1. Wash your feet: Make sure that you wash your feet every day with a mild soap and warm water. The water should not be very hot and you should check it before your legs are exposed to them.
2. Pat Dry: It is extremely important to carefully pat dry your feet. Moist environment becomes an amicable host for the breeding of various infections. It’s also necessary to dry the area between your toes as well.
3. Moisturize dry skin: If you feel that your feet are rough or dry then only use a gentle lotion. Do not use lotion between your toes.
4. Avoid walking bare foot: Walking bare foot can cause injuries and can get infected easily.
5. Inspect your feet: Inspect your feet every day for any sores, bruises, or cuts.
6. Never attempt to remove any foot lesions or corns and warts by yourself. Also do not use any antiseptic liquids on cuts and bruises. Immediately see your doctor or podiatrist. If your feet is in a very bad condition, do not stand in once place for a very long time. It’s advisable to wear cushioned natural fiber made socks.
7. Tight shoes are not recommended. Choose comfortable well fitted shoes at all times.

If these DIY tips doesn’t work for you, consult with our Abu Dhabi Podiatrists. We can give you the best solution for your feet! Give us a call on 02 633 0515 / 055 511 6072 and get an appointment today.


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16/Jan/2021

Why You Need Vitamin D?

From our very childhood we have been hearing form our mothers about the importance Vitamin D in our bodies. Though many of us might know that it is actually important but not many people know why! So here’s a short preview of the importance of Vitamin D. We are pretty sure after reading this article the next time you encounter sunlight, you might not dislike it.

Bone Density and Growth

Have you ever heard of a person who has soft bones and you have always wondered what could be the probable cause of it! The probable answer is deficiency of Vitamin D. Vitamin D is mostly needed in our body for absorbing Calcium. Lesser the absorption of calcium in our body, softer the bone is. Also lesser calcium percentage might hamper proper growth of bones as well. But the importance of Vitamin is not limited to this, here are few other important aspects of Vitamin D.

Reducing Risk of Multiple Diseases

1. Sclerosis is a disease where the immune system ends up eating the protecting coverings of nerves. Vitamin D reduces the risk of having this disease.
2. Vitamin D also reduces the risk of heart related problems.
3. It also helps in prevention of flu

Fighting Depression

In one study it was found that people who suffer from anxiety and depression often show improvement if Vitamin D is administered to them. Vitamin D plays a vital role in mood swings, anxiety problem and depression.

Losing weight

In case you are carrying some extra pounds in your body and you are just not comfortable about it, you might want to add some Vitamin D to your diet. According to scientists extra calcium and Vitamin D has an appetite suppressing effect.
So the next big question is, where to get Vitamin D from? Yes, we have answers for that too, just keep reading

Sunlight

Yes, the oldest and yet the most effective way to get some Vitamin D.

Vitamin D tablets, liquids, and supplements

In case you are suffering from Vitamin D deficiency, do consult a doctor. Your doctor might prescribe you some vitamin D tablets or liquids or supplements. Guess what, you can buy these online from Propharma now. To buy them, click here.

Strong: Food sources
And obviously another organic and natural way of having some Vitamin D would be from food. Here are a list of few food items which are rich in Vitamin D. Do consider them in your diet.
• Egg yolk
• Salmon, Tuna, Mackerel
• Sardines
• Milk (fortified)
• Orange juice (fortified)
• Cereal (fortified)
• Yogurt (fortified)
• Beef liver
• Cheese

So go out, soak some sun, have some vitamin D enriched food, take some Vitamin D tablets and live a healthy life.


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16/Jan/2021

What is Plantar Warts?

Warts are infections on the skin caused by one particular strain of human papillomavirus (HPV). Warts which grow on the plantar surface (Bottom) of the foot are known as plantar warts. Warts are mostly non painful in nature. However, depending on the area and size of the wart it might prove to be a cause of irritation and pain. Plantar warts can be seen in all age groups but they are most common amongst high school going children.

Causes of Plantar Warts

• Using public showers can cause plantar warts
• If you like to swim you should know that swimming pools can be a reason for warts too
• Some kind of wound, friction on the skin sometimes might cause plantar wart
• Weakened immune system can also be the probable causes for the spread of infection.
Plantar warts are non-malignant and non-cancerous, in fact in about sometime most warts go away without any treatment. The size of the warts is 2-3 cms in general. However some warts may grow bigger and other might just might take the shape of little colonies.

Treatment of Plantar Warts

Home Remedy for Plantar Warts:

There are various ways of treating the wart at home. Duct tape is one such home remedy. A small strip can be placed over the wart and left for a few days. It can be removed just by peeling of the duct tape. The peeling method can be applied with salicylic acid as well.

Visit our clinic:

1. Cryotherapy: If you visit our podiatry clinic our doctor might suggest you to go for cryotherapy. Cryotherapy is basically done to freeze the wart by applying liquid nitrogen to it. Usually the dead tissue falls of within a week or so. Sometimes it might take you a few sittings with us to get rid of the wart completely.
Other popular treatments are,
1. Laser Treatment
2. Minor Surgery
3. Vaccination

Although warts are mostly non painful yet they might prove to be very unbecoming for us at certain situations. They become a cause for embarrassment for us in social gatherings and can indirectly be the cause of our low self-esteem. So it’s extremely important that they should be treated


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16/Jan/2021

What is Ingrown Toenails?

The medical term for ingrown toenails is onychocryptosis. It is a condition that can affect any of our toenails but the most usual area is the big toe. It is a painful manifestation of the nail to grow deep inside our skin and pierce through the tissues. Redness and swelling are the symptoms of it. It can become severe in cases where it may form a boil and to generate puss. Ingrown toenails are most common among adults. It rarely affects children. Athletes suffer quite frequently from ingrown toenails.

Possible Causes of Ingrown Toenails

• A pre existing fungal infection on the toes and cause the nails to grow abruptly without a proper shape.
• Ingrown toenails can be a persistent problem in a particular family. Basically it depends on the shape of your nails. The more round it is, the greater the risk.
• A pre existing or repetitive injury on the toenail will eventually make it thick. This type of injury is common amongst sports persons.
• Wearing very tight shoes will put an abnormally high pressure on the nails, causing them to grow erratically.
• Lastly factors like how we trim our nails, how we maintain our feet hygiene, the types of shoes we wear, all these can be triggers for the growth of ingrown toenails.

Treatment of Ingrown Toenails

• The treatment for the problem varies according to its severity. If the wound is minor it can be easily treated at home.
• Soak your feet in a mixture of warm water with vinegar or Epsom salts daily for 10 mins. Maintain foot hygiene. Trim your nails from time to time but remember not to cut them too short.
• However if the ingrown nails forms a fungal infection with puss formation then it is advised to visit our clinic HSMC. Upon examining the condition, it is possible that our podiatrist may suggest for a small surgery. The surgery will basically be to clean up the wound, elevate and cut off the ingrown and a dressing afterwards. Antibiotics are also prescribed generally. With the permission of the doctor, it is ok to take mild painkillers to get relief from excessive pain.


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16/Jan/2021

What causes Sweaty Feet?

Perspiration is a natural anatomical phenomenon. It helps us in flushing out toxins from our body. But this natural process of secretion becomes a problem when in excessive, specially from our feet. Excessive sweating is also known as plantar hyperhidrosis. Doing any activity means that we are sweating all the time. In a normal environment the sweat evaporates quickly but under certain conditions and amongst certain people this sweat gets trapped within the glands. As a result it becomes a home for bacteria to grow. This bacteria produces a foul smell which almost all the time leaves us in an embarrassing situation.
Plantar hyperhidrosis, if not treated properly, can lead to other problems like itchiness, redness, fungal nail infection, athlete’s foot etc.

Causes for Excessive Sweating in the Feet:

1. Hereditary: It’s absolutely possible that some people are born with more sweat glands than others, which will cause them to sweat more compared to others.
2. Food and lifestyle: Toxins such as alcohol and food with oily substances like trans-fats can cause excessive sweating.
3. The nature and fabric of shoes and socks that we wear on a daily basis: Closed shoes and shoes made from rubber and plastic materials don’t let our feet to breathe. Similar is the case with socks made up of Nylon and others such polyesters.

Treatment Tips for Excessive Sweaty Feet:

1. Wash your feet every day with an anti-bacterial soap. Make sure you dry them properly with a soft towel or a hair dryer.
2. Use and antiperspirant roll-on a regular basis underneath your feet. These roll-ons are meant not only for your underarms but can be used in other parts of your body to prevent excessive sweating. It forms a thin layer and blocks the pores of the sweat glands.
3. Wear cotton socks as much as possible. Remember not to repeat them without washing. Natural fibers like cotton soak up the moisture.
4. Try to take your walks barefoot and allow your feet to breathe. Do not wear the same pair of shoes every day.
5. Soak your feet into a mixture of apple cider vinegar and water for 15 minutes every day. The ratio should be in half is to quarter.
6. Another fruitful method is to soak your feet in tea water. Dip about 10 tea bags into half a litre of water and then soak your feet for 15 minutes every day.

If the problem, persist even after all these remedies then talk to our professional podiatrist about your problem at HSMC. We can help you to reduce both sweating and foot odor.

Our contact details are below:
P.O. Box. 44548, 1st Floor Office #41 Office Tower,
BHS Building, Hamdan Street, Abu Dhabi – UAE
Email: info@hsmc.me


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