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The Importance of Diabetic Shoes

The Importance of Diabetic Shoes

Importance of Diabetic Shoes

Diabetics, or people who have diabetes, are at a significantly increased risk for foot disease and injury. Diabetic shoes can provide both protection and comfort. Diabetics should always wear shoes in the house, even when they aren’t going outside, in order to avoid possible injury to feet from objects on floors that can be stepped on or fallen upon by accident. It helps protect the feet from injuries such as cuts and bruises from sharp objects found around the home.

Do I need to wear diabetic shoes?

Diabetic patients are at a higher risk of nerve damage, vision problems, and foot disease due to the effects of diabetes. Diabetic shoes can protect against these side effects by offering protection in areas where there is increased pressure. It can also need to provide comfort in order to prevent calluses that could lead to ulcers or infections in diabetics with reduced sensation along with restricted blood supply throughout the feet.

When should I wear diabetic shoes?

Diabetic shoes should always be worn, even when going inside the home, to protect feet against possible injuries from objects that may be on a floor such as a sharp or broken piece of glass. Diabetics also need to wear diabetic shoes outside as well to prevent injury from falling due to loss of feeling in their feet from neuropathy-related diseases.

What should Diabetic Shoes look like?

Foot doctors recommend patients purchase Diabetic Shoes with removable insoles so they can fit their own custom orthotics if needed for improved foot health and comfort. It has a wide toe box area for improved circulation and breathability. It uses durable material that resists scuffing to help them hold longer than traditional dress or athletic shoes. It may come with a raised heel so patients can maintain a proper gait and avoid feeling as if they are about to slip or fall when they walk

Diabetics should not wear sandals because open-toe footwear exposes feet to infection from cuts, abrasions, and glass along the ground.

What features make Diabetic Shoes?

Diabetic shoes need to have soft uppers that provide comfort for feet with most types of diabetic neuropathy including sensory loss. It improves foot health by preventing ulcers and infections through improved breathability of insoles and increased air circulation in the toe box area which helps prevent bacteria growth. Diabetics can also benefit from Diabetic Shoes made with moisture-wicking material that discourages bacteria growth.

Diabetic shoes are meant to hold up longer than traditional Diabetic Shoes or athletic Diabetic Shoes since they are made of durable materials, including leather or synthetic leather, that resists scuffing. Diabetic shoes often come with a raised heel for improved posture and gait while walking and Diabetics should wear Diabetic Shoes with a wide toe box area and removable insoles so they can fit their own custom orthotics if needed for improved foot health and comfort.

Your Total Foot Care Specialist Diabetic Shoes: Give your feet the support they need!

You may think that diabetic foot problems don’t pose a threat to your health, but you would be surprised at the number of people who have had their limbs taken away thanks to these conditions. Protecting yourself with proper footwear can help avoid needing an amputation! Our office is qualified and approved by Medicare as the supplier for protective shoes which prevents 68000 more cuts like this every year – we’re here whenever there’s a need.

To avoid diabetic foot complications, proper footwear is necessary. Our office offers an extensive range of shoe choices for patients with this condition so they can choose what’s right for their feet.

Please ask our foot doctors if you feel that you might benefit from diabetic shoes and you’re diabetic.

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Ingrown Toenail: Remedies, When to See Your Foot Doctor, and More

Ingrown Toenail: Remedies, When to See Your Foot Doctor, and More

Our feet are both an important part of our bodies and unfortunately, not the most glamorous body part. When it comes to taking care of your feet, you need to take care of your toes just as much as you do any other parts of your foot. One common problem that can affect people’s toes is ingrown toenails. This article will talk about how to prevent ingrown toenails, what you can do if you have an ingrown toenail: remedies and when it’s time for you to see a foot doctor.

Ingrown Toenail: Remedies and More - When to see Your Foot Doctor

What Causes Ingrown Toenails?

An ingrown toenail is a problem that many people can face at some point in their lives, and there are ways for you to prevent them from occurring. One of the main causes of an ingrown toenail is when your nails grow too long. When the edges of your nail start curling over and digging into the skin surrounding your toe, this is when you have what is known as an ingrown toenail.

If your nails are not trimmed regularly and become too long, it’s possible for your nail to curl over and begin growing into the side of your toe. This can be extremely painful and should also be taken care of immediately by a podiatrist. While most ingrown toenails can be treated rather easily, it is best to avoid them from occurring in the first place.

What are the symptoms of ingrown toenails?

The symptoms of an ingrown toenail may be different for everyone. Some individuals may experience a lot of pain and discomfort, while others may not feel it at all. One of the most common signs that you have an ingrown toenail is when you notice dark red blood surrounding your toe, especially when you remove your socks.

This is when the borders of your nail are cutting into the surrounding skin, causing it to bleed. You may also notice that your toes feel tender and painful in this area. If you experience any of these symptoms, it’s important for you to see a podiatrist immediately in order to prevent further complications from occurring.

Complications of ingrown toenails

Sometimes, the symptoms of an ingrown toenail go beyond light red blood and pain in your toes. If left untreated, an ingrown toenail can lead to serious complications such as:

  1. Infection: If you cut yourself while trying to remove a part of your nail that has grown over the skin surrounding it, you can cause an infection to take hold in your toe. The infection will likely spread from the cut and into the surrounding skin, which can be very painful.
  2. Deformity: If you don’t treat a severe ingrown toenail that requires surgery, it may lead to a deformation in your toes. Since this is a problem that will have to be addressed by a professional, you should always take care of your ingrown toenails as soon as possible.

How are ingrown toenails diagnosed?

An ingrown toenail can be diagnosed by a podiatrist during a visual evaluation, and this will include an inspection of your toe and nail. It’s important for you to communicate with your podiatrist if you’ve been experiencing any of the symptoms that we’ve already said above. If you’re not sure whether or not what is happening to your foot is an ingrown toenail, you should always go in for a visual evaluation.

The type of ingrown toenail treatment that you may need will depend on the severity of your problem, so keep this in mind when choosing a podiatrist. If the nail has grown over your toe and requires surgery in order to be removed, this is going to require a more specific method of treatment that will have to be done by a professional.

List the treatment options for ingrown toenails?

The treatment plan that you’ll have to follow depends on the severity of your ingrown toenail problem, but there are some options that you can try at home. If you’ve got a minor ingrown toenail, it’s possible for you to remove the nail yourself using tools such as toenail clippers and cuticle scissors.

If you’re not sure about what is causing your ingrown toenail, it’s important for you to go in for a professional evaluation. This will help the podiatrist determine whether or not you’ll need surgery or another form of treatment that doesn’t require cutting into your foot.

If you’ve got an infection under your nail due to an ingrown toenail, you should never try to cut away any part of your nail that’s grown over the skin. This may require surgery in order to be removed properly.

It is important for you always to communicate with a foot doctor or podiatrist if you are experiencing symptoms of an ingrown toenail. If they determine that you need surgery, you’ll be able to know what’s wrong and get on the proper treatment plan before more problems occur.

How to cut toenails properly?

Ingrown Toenail: Remedies and More - When to see Your Foot Doctor
  1. When cutting your toenails, start with the closest to
  2. Never cut straight across—always round the corners
  3. File nails into a natural curve that follows the contour of your toe

The best way to prevent ingrown toenails is simple. Your nail should never be too long or forced into a position that goes against the natural shape of your toes. If you’re having problems cutting your own toenails, don’t be afraid to ask for help from another person in order to get the job done properly.

How often should I cut my toenails?

As you know, you should always cut your toenails after a shower or bath. This will help soften the nails and make it much easier for you to remove them without causing any pain. If your nails are too long before you take a bath, they may crack or break off, which can be very painful.

If you’re unsure about how often you should cut your toenails, it’s a good idea for you to consult with a podiatrist. The best way to prevent ingrown toenails is by simply cutting your nails after a bath or shower and following the natural contours of your foot.

Home treatment for ingrown toenails

– Soak two to three times a day in warm water with Epsom salt

– Apply antibiotic ointment or tea tree oil to the affected area for several days

There are some home remedies that you can try if you’re looking at how to prevent ingrown toenails. For example, this is an old remedy that people swear by in order to get rid of an ingrown nail. Simply soak your feet in warm water with Epsom salt for about 20 minutes, two to three times a day.

It is important for you not to pick at the skin around the edges of your ingrown toenail or cut it away from yourself. You should always speak with a podiatrist about your options. If they determine that you have a severe case of an ingrown toenail, they’ll be able to recommend treatment and start working on the healing process immediately.

Surgical treatment options for ingrown toenails

– Almost always require removing part of the nail plate

– If you have an infection, this may be the only option available to you at all

The most severe cases of ingrown toenails will usually require surgery in order for them to heal properly. This is where the podiatrist will need to cut away some of your nail plates in order for it to grow back properly.

If the podiatrist performs this surgery, it will usually involve opening the skin and filing down the edges of your nail plate so that they’re smooth and even with your skin’s surface. If you have an infection, you’ll need to receive antibiotics as well as possible before surgery can be performed.

You can avoid having to have surgery on your ingrown toenail if you are proactive about the issue. If it ever gets so severe that you cannot cut away any of your nail plates, see a foot doctor immediately. They can determine if you need surgery or not and start the healing process right away.

If you’re struggling with an ingrown toenail, it is important for you to be proactive about the issue. Always speak with a podiatrist or foot doctor if you see problems developing and they can recommend treatment options that may help prevent surgery or further pain.

How to prevent ingrown toenails

  1. When cutting your toenails, start with the closest toe and work towards the outer toes
  2. Cut each nail straight across—never in a curve or at an angle

The best way to prevent ingrown toenails is simple: never cut your nails into an unnatural position such as curving them under your skin. If you need to cut them shorter, it is much better to round the tips of your nails to avoid any future ingrown nails.

When you’re looking at how to cut your own toenails, start with cutting the nail closest to your toes and make your way towards the outermost edge of your foot. Your nails should always be cut straight across to avoid the issue.

If you’re at a loss for how to prevent ingrown toenails, it is better to be safe than sorry. You should always consult with your podiatrist or foot doctor before attempting any home remedies that may cause further pain or injury.

When to See a Foot Doctor near me

Here are some simple signs that tell you when it’s time to see a foot doctor near me.

  1. If your ingrown toenail is red, swollen, or bleeding, you need to get in touch with our foot doctor right away
  2. If you have diabetes or other circulatory issues that put your feet at risk, then you need to see a podiatrist in your area immediately
  3. If you have an ingrown toenail that causes severe pain or swelling, then you need to get in touch with our foot doctor right away

If the issue is impacting your daily life in any way, it is time for you to speak with a foot and ankle specialist. Schedule an appointment with Your Total Foot Care Specialist Podiatrist Katy, Tx, Cypress, Tx, Copperfield, Tx, Memorial and Galleria, Tx.  You might have an infection, so it’s better to be safe than sorry!

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The Top 8 What to Know When Choosing a Foot Care Provider in Katy Texas

Choosing a Foot Care Provider

There are many things that you need to know when choosing a foot care provider in Katy, Texas, and we’re going to tell you all about them so that you can make the best decision for yourself!

The foot is one of the most important parts of your body, and it is also one of the most neglected. It’s time to put an end to that neglect by finding a podiatrist in Katy Texas who can help you with any foot care needs.

No. 1- Your Foot Doctor’s Education

It is important to find a foot doctor in Katy Texas who not only has the appropriate credentials, but also someone with a lot of experience and knowledge about podiatry. When you’re interviewing your foot care providers make sure that they have gone through extensive medical training as well as a residency program. Although you can find a foot doctor in Katy Texas without going to school, the chances are much higher that they will be able to help with your specific needs if they have gone through podiatry college and medical training.

How Long They've Been In Practice

It is also important when searching for a foot doctor in Katy Texas to find out how long they have been practicing podiatry. Their years of experience and knowledge will help them be more able to treat you with the best foot care possible. They should also be board-certified so that if your insurance company requires this certification it is already there!

No. 2- Specializations

You will want a podiatry practice in Katy Texas that can meet all of your foot care needs. This is why you should look for an office that has more than just one podiatrist working there because they may be able to help out with different issues or injuries on your feet and toes. You don’t have to worry about having multiple people working on your feet at the same time since podiatrists are experts in their field and they will know exactly what needs to be done.

No. 3- Locations

Another thing to look for when searching for a foot doctor in Katy Texas is an office that has several different locations around the city or town so that it’s much easier and faster for their patients to get there! This will allow you more time with your podiatrist as well as the ability to see them much more quickly. You will also want an office that has extended hours or is open on Saturdays so you can get in and out easily and don’t have to take time off work!

No. 4- The Office Staff-Friendly Atmosphere

You should look for a foot doctor’s office in Katy Texas that has a friendly staff! Podiatrists are people too and they should be able to help you with any problems or questions you have about your feet. You definitely don’t want an office where the podiatrist is mean, rude, or dismissive of their patients’ needs because this will make it much harder for them to find treatment options for you.

No. 5- Cleanliness

Another thing that you will want to know when choosing a podiatrist is how clean their office is! You should look for an office where the staff cleans on a regular basis and does not have trash all over the floors or in the waiting room because this can cause infection, disease, or illness if you are in their office. You also want to make sure that the tools used for foot care are sterile and clean so you don’t get any infections or diseases from them!

No. 6- Insurance Availability/Accepted

When choosing a podiatrist in Katy Texas it’s important to find out if they accept insurance coverage because this will make foot care easier and more affordable for you! You should also look into whether or not they have any other services that are offered, such as massages or pedicures to give yourself a full spa day at their office. With these factors in mind, finding the right podiatry practice is much easier than it may seem!

No. 7- Office Technology

When looking for the right podiatrist in Katy Texas you should look into their technology! You want to make sure that they are up-to-date with all of the newest technologies and tools available so that your foot care is as efficient and painless as possible. This will also ensure that if anything bad happens like infection or injury that they have the best tools and technology available to treat you as soon as possible!

No. 8- Online Reviews

When searching for foot care services in Katy Texas you should look into online reviews! You will want to make sure that the podiatrist’s office has positive feedback about their foot doctor and staff so that it is easier on you when choosing one. This makes the job of finding the right clinic much simpler than if there were no good reviews out there!

As you can see, there are many different factors that go into choosing a podiatrist in Katy Texas. With these tips, you should be able to find the right foot doctor for your needs!

Meet Your Total Foot Care Specialist Certified Podiatrist – Schedule An Appointment Today

The most important thing to remember when choosing a foot doctor in Katy Texas is to make sure that the clinic has all of the criteria you are looking for so that your feet can be treated as efficiently and quickly as possible! Podiatrists have a lot of training and experience, so finding one who works with insurance coverage or accepts different forms will make the process much easier for you.

Your Total Foot Care Specialist is a leading podiatry clinic that offers state-of-the-art foot care services to patients from Katy, Cypress, Copperfield, Galleria, and Memorial. We have been serving our community for over 30 years now! Our team of board-certified podiatrists provides great service by offering you high-quality treatment options at an affordable price. Our office has the latest technology and tools for foot care, so you can be assured that your feet are in good hands!

Advanced Podiatry Treatment and Services

Our podiatrists utilize all of the latest technologies and tools to provide you with efficient treatment options! Some of our services include:

– Diabetic foot care

– Foot infections or injuries

– Toenail Fungus Removal – Warts, Corns, & Calluses Treatment  & More!

We accept most major insurance providers and offer flexible payment options.

Call us today at 281.395.FEET (3338) to schedule an appointment. We look forward to hearing from you!

Your Total Foot Care Specialist exterior
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Katy, Tx: Treat Ganglion Cysts with a Foot Doctor’s Care

Katy Foot Care: Treat Ganglion Cysts with a Foot Doctor's Care

Ganglion Cysts are benign tumors that form on a joint. Ganglion cysts most commonly occur in the hands and feet, which is why foot doctors often diagnose Ganglion Cysts with a Ganglion Cyst examination. Ganglion cysts usually form as a result of an injury to the joint located near the cyst, but they can also form as a result of an inflammatory process or tumor. Ganglion cysts are not painful unless they become inflamed or undergo trauma. In this blog post, we will explore what gangliacytes are exactly and how you can treat Ganglion Cysts to get relief from the pain and discomfort associated with a Ganglion cyst.

What is Ganglion?

A ganglion cyst is a common yet misunderstood condition. Ganglion cysts form as a result of an injury to the joint located near the Ganglion Cyst, but they can also form as a result of an inflammatory process or tumor. Ganglia and other benign tumors like lipoma and neurofibroma are composed primarily of mature adipocytes (fat cells) surrounded by sparse connective tissue stroma with little cellularity.

What Causes Gangliocytes?

A ganglion may develop after trauma, such as falling on your foot, or after repetitive stress injuries such as those associated with sports activities. Sometimes it’s impossible to determine what causes them. It may arise from either a local abnormality in development during childhood, or there may be a genetic link. Ganglia are usually found on the back of wrists, or inside fingers and toes.

They can also form around tendons that pass over bony prominences in joints like your wrist (carpal tunnel) or knee. The tissue surrounding the ganglion cyst is typically thickened with chronic inflammation which causes pain when you press on it because it’s so sensitive to touch. Ganglions often come about spontaneously without any known cause although they sometimes follow an injury such as hitting your hand against something hard like a table corner. Gangliocytomas are benign tumors composed primarily of mature adipocytes surrounded by sparse connective tissue stroma with little cellularity, whereas gangliosidosis is considered a reactive process that is often seen in association with degenerative joint disease. Gangliocytomas are most commonly found on the wrist and can be diagnosed through Ganglion Cyst removal surgery, Ganglion Cyst aspiration, or Ganglion Cyst injection.

Symptoms of Ganglion Cysts

A ganglion cyst is associated with one or more of the following symptoms:

  • A noticeable lump—often this is the only symptom experienced
  • Tingling or burning, if the cyst is touching a nerve
  • Dull pain or ache, which may indicate the cyst is pressing against a tendon or joint
  • Difficulty wearing shoes due to irritation between the lump and the shoe

How Ganglions are Diagnosed?

Ganglion cysts can be diagnosed with the help of an ultrasound. Ultrasound uses high-frequency sound waves to create images, which may show fluid or air in tissues where it shouldn’t be. An MRI scan also helps doctors diagnose Ganglion Cyst by using strong magnets and radio frequencies to produce detailed views inside your body without needing surgery. A CT scan is another form of imaging that could reveal ganglia because it creates multiple x-ray beams at different angles to give clear cross-sectional images so you see things from all sides instead of just one view like ultrasounds provide. Katy Foot Care Podiatrists and foot specialists in Katy, Cypress, Memorial Galleria, or Copperfield can diagnose ganglion cysts with modern ultrasound equipment.

How can Ganglion Cysts Be Prevented?

Many people aren’t aware that they may not need treatment at all–and this is because Ganglion cysts are fairly common, typically harmless, and often disappear on their own! One way to prevent them from showing up in the first place is by taking care of your feet as well as being active–so exercise regularly and wear comfortable footwear whenever possible! If you have diabetes or any other conditions where blood flow isn’t optimal then lifestyle changes will most likely be necessary for best results so consult with your podiatrist today about what steps they recommend you take to start reaping some of the benefits of Ganglion Cysts as quickly as possible.

In some cases, Ganglion cysts may need to be drained if they become painful or interfere with your daily routine–but this is a rare instance and even more so when you try to stay on top of hygiene practices for feet! Even though these lumps can grow quite large, many people have found relief from them by using over-the-counter remedies including hot towels or ice packs that help reduce swelling and pain associated with their presence. Ganglions are fluid-filled sacs most often located near joints but remember that doctors will not typically recommend surgery unless there’s an issue of pain due to pressure being put against it etc. Make sure you work closely with your foot doctor if you notice any changes in Ganglion cysts as they happen!

When Is Surgery Needed?

There are times when Ganglion cysts may be the cause of pain and other symptoms. In these cases, surgery might need to be done to help your patient get back into action as quickly as possible!

Surgical treatment is necessary if you experience:

  1. More than one Ganglion Cyst at a time (rare)
  2. Ganglion Cysts that do not heal with nonsurgical measures over six months or more

Your doctor will determine what’s best for each case–and this can vary from person to person depending on their lifestyle needs. Make sure you follow up with them regularly so they can evaluate how well you’re doing after any surgical intervention or before it occurs in order to make sure nothing has changed since you last spoke.

Even in cases where Ganglion Cysts are not painful, talk to your podiatrist about whether or not you need surgery so they can help get it exactly right the first time around! If there is an issue with pain or any other symptoms including if things have worsened since diagnosis then be sure to consult a foot specialist immediately for further information and treatment options–don’t just put up with something that doesn’t feel quite right because you’re unsure of what’s going on!! A ganglion cyst is fluid-filled sacs most often found near joints but luckily these lumps tend to go away quickly when treated correctly by doctors who specialize in this field! Sometimes people mistake them for being (which could indicate cancer) so it’s important to get checked out right away by a medical professional if you think something might be wrong.

Why choose a foot and ankle surgeon?

When you have foot problems, the best person to see is a specialist in this field. Your primary care doctor might be able to diagnose your problem but isn’t trained to treat it. A podiatrist is well-equipped for diagnosing and treating any kind of ailment that affects your feet or ankles.

Katy Foot Care board-certified foot specialists have additional training beyond what’s required for an M.D., which means we’re even better qualified to help you get back on track! With offices in Katy, Cypress & Memorial -Galleria and Copperfield, our doctors can treat everything from ingrown nails or bunion problems right up to Ganglion cysts that require specialized treatment–and recommend it ASAP if necessary.  Give us a call today at 281.395.FEET (3338).

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How do I find a good foot doctor near me?

How do I find a good foot doctor near me?

Have you been feeling pain in your feet for a while now and not sure what to do about it? Is the pain interfering with your daily life?

Do you need to find a foot doctor near me that will be able to help alleviate the pain and discomfort? This blog is all for you. Keep reading as we discuss how to find a foot doctor near me. 

Katy, Texas: Foot Doctor

What is a Foot Doctor?

Podiatry is a field of medicine that diagnoses and manages foot conditions. Foot doctors, called “podiatrists,” A practicing specialist deals with everything from corns to fractures – it’s the perfect title if you have any worries about your feet or ankles at all times (no matter how big/small)!

Podiatric medicine is a discipline that deals with the treatment of diseases and conditions affecting your feet, ankles, or lower legs. In many states across the USA, it can only be practiced by those who are qualified as doctors of podiatry (D Pod). Some practices include surgery too but not all do this for their patients’ treatments – some limit themselves solely to medical care.

What do Foot Doctors/Podiatrists Treat

The foot is the most important part of your body. It helps you walk, run, and jumps from one place to another- but if something happens in it then everything will be limited for sure! Podiatrists are professionals who treat people all over because they have many different conditions that can happen with our feet including:

  1. Fractures and sprains are common foot injuries that podiatrists treat. In addition, these doctors work in sports medicine treating athletes’ needs for treatment recommendations they have on how best to avoid similar situations happening again by following some simple guidelines when playing a sport or exercising regularly!
  2. Bunion and hammer toe are common foot problems that can cause pain. A bunion occurs when the joint at your base gets bigger or pushed out of place, causing it to bend towards other toes. Symptoms may include an unnatural pointedness in one toe caused by not having enough room for growth near its base—the result looks similar to how someone with thick nails might walk on their feet because they don’t really spread them very far!
  3. Nail disorders are a major source of pain and discomfort. An ingrown toenail is when the raw skin gets pushed into your toe, which causes it to become infected because there’s no way for air or water vapor inside our bodies can get out this leads them to grow quickly! A fungus infection will affect one nail as well but usually multiple nails at once so we need professional help with diagnosis in order to prevent spreading germs around more than necessary.
  4. Diabetic Foot. Diabetic neuropathy can make foot and leg-related sensations more difficult to feel. This makes it important for people with diabetes to check their feet for soreness and to visit a podiatrist if they have any callouses. This helps them avoid complications like amputation, which happens because of poor circulation in the foot.
  5. Arthritis can be a painful and disabling condition. It affects the joints in your feet, stopping you from running or lifting weights as much. If your foot is hurt, then the other foot might get hurt too. This can lead to a lot of pain and then surgery if there are no other treatments that work for you.
  6. Growing pains. If you notice that your child’s feet point inward or look flat, a podiatrist might be able to help them with exercises and insoles for better posture which could also prevent future injuries from occurring if done properly by following doctor’s orders accordingly; however, another option is surgery in extreme cases where their toes do not line up correctly because this will correct the problem once again as well without any long-term effects other than cosmetic ones such as scars on top of nails being too short, etc.
  7. Heel pain is a common cause of heel spurs. Heels get them from running, poorly fitted shoes, or being overweight. It can also be caused by plantar fasciitis which is when there is inflammation connecting your toes to the floor.
  8. Overpronation is a common cause of biomechanical foot issues, and it can affect athletes as well. Achilles tendinitis is a condition that can occur in the back of your heel. In some cases, surgery may be needed to get rid of this pain and other more serious ailments like aggravated arthritis or even Crohn’s disease!
  9. Morton’s neuroma this condition can cause pain and even a feeling that something is stuck beneath your skin. Runners are at risk for developing it since they wear tight shoes or overpronate (walk heel-toes). A podiatrist can offer injections for pain relief and recommend orthotic treatment like surgery if necessary.

Reasons to See a Podiatrist

Your feet are a complex structure that does an incredible amount of work. It’s amazing to think that by the time you turn 50, your feet have walked 75000 miles!

Your feet have many bones and tendons. They are connected with ligaments so they can work together well. That way your feet can take care of all the weight from your head to where most people think their knees should be.

It can be tough to figure out what’s going on with your feet. If you’re experiencing any of the symptoms listed below, make an appointment and head over for some podiatry care today!

  • Cracks or cuts in the skin that is dry and scaling on peeling sole;
  • Fissures caused by childbirth where the bottom has torn away like paper due to sheer pressure during delivery; 
  • Growths such as warts which are really just benign tumors… almost always found near your toes but don’t worry they won’t hurt when touched so these will be removed too. 
  • Thickening tissue around one area causing discomfort.

Find the Best Board- Certified Foot Doctors Near Me

If you’ve been feeling pain in your feet for a while and it just keeps getting worse, give us a call today to find the best foot doctors near me. We’ll help alleviate your pain and discomfort so that you can get back to living life in comfort again! 

The Katy Foot Care has experienced and board-certified podiatrists who will be able to diagnose what’s causing your discomfort or even if they need to provide referrals for other specialists. Schedule an appointment with one of our podiatrists in Katy, Cypress, Copperfield, Galleria, or Memorial so that we can put an end to this problem once and for all!

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Plantar Warts: Assessment and Treatment

A common skin condition that affects 7-12% of the population is called plantar warts or verrucas. These are located on the bottom of your foot and can be prevented by waterproofing in community bathing areas. When assessing human papillomavirus (HPV) lesions, it’s important to rule out more serious conditions for a better prognosis as part of overall health care management.

What Is a Plantar Wart?

Plantar Warts

A wart is a small growth on the skin that develops when your body’s immune system fails to fight off viral infections. They can develop anywhere, but they typically occur where there are more opportunities for penetration like between toes and on your feet. Children and older adults are more likely to be affected by plantar warts due to their weaker immunity system from early life experiences.

There are two types of plantar warts, solitary and mosaic. 

  1. A solitary wart is a single bump that may increase in size or multiply into other bumps called satellite warts. 
  2. Mosaic plants appear as clusters with multiple small bumps growing closely together; they’re more difficult to treat than individual ones.

Plantar Wart Causes

When the HPV virus spreads in moist skin areas, it causes plantar warts to grow.

The contagious HPV infection can spread between people and cause wart growth around warm wet places like swimming pools or showers at gyms.

Many factors influence the likelihood of getting plantar warts, including your age and health. You can contact plantar warts from direct contact with a person who has one or more of them, walking barefoot in locker rooms after using communal showers at pools/gyms; having a weak immune system.

Plantar Wart Symptoms

The symptoms of a plantar wart may include:

  1. Thickened skin. It might resemble the calluses because it is tough and hard to touch with pain when walking or standing, squeezing could cause some discomfort 
  2. Tiny black spots that appear on the exterior of your feet are dried blood inside tiny vessels underneath. They can be growing slowly, pushing deeper into your skin.

Plantar Wart Diagnosis and Treatments

When examining warts, your Foot and Ankle Doctor in Katy, Memorial, Cypress, Galleria, or Copperfield may take skin samples from the growth and send them to a laboratory for testing. This procedure is called a biopsy. The appearance of plantar warts can vary from person to person, but they are often larger than calluses or corns and have a more irregular shape.

If warts don’t go away after a few years, there are several treatment options to consider.

Prescription creams for Plantar Warts

A foot and ankle doctor may prescribe salicylic acid for plantar warts. This compound is usually the first treatment option when it comes to removing warts because of its high success rate and quick results. People can apply this topically on a daily basis, over several months’ time, until they are cured.

Cryotherapy for Plantar Warts

Cryotherapy, a form of treatment that uses liquid nitrogen to freeze off the wart might not be as effective as salicylic acid. However, both should be used by podiatrists for maximum effectiveness when trying to get rid of warts on patients’ feet.

Cryotherapy is an effective treatment for warts, but it may require multiple sessions to resolve the wart. This therapy tends to be painful and therefore not recommended for young children who cannot easily understand what’s happening during a session.

Medicines for Plantar Warts

Immunotherapy is an effective treatment for warts caused by the HPV virus, as it stimulates one’s immune system to fight off this persistent and contagious infection.

Professional podiatrists use the naturally occurring blistering agent cantharidin to help remove warts. This painless medical adhesive will shield your skin for a few hours, giving you the freedom to move around without discomfort. Within one week’s time, healing begins as our bodies heal themselves from within out.

Some researchers have suggested that oral zinc supplementation may be beneficial for fighting cold symptoms, although the evidence is inconclusive. Oral medication can also boost immunity as a treatment option but has been shown to lack efficacy in some populations.

 

Laser Treatment for Plantar Warts

Laser treatment is a safe and effective way to remove warts, but it can sometimes cause scarring.

There is a 60-75% success rate in using the pulsed dye laser method to remove warts that are difficult to treat. However, multiple treatments may be necessary for the complete removal of all warts.

Dermatologists are highly qualified professionals who can successfully remove warts without leaving behind residuals that may cause them to regrow.

Verruca Needling

Needle puncturing is used to target the affected areas on verrucas. For patients who are in pain or cannot tolerate anti-inflammatory medications, local anesthesia can be used to numb the skin before surgery. However, they will not experience any pain during and after surgery due to avoidance of these types of drugs in this area of the body.

Home Treatment

Those with conditions such as diabetes, circulatory problems, cardiovascular disease or vascular conditions should check in with their doctor before trying home remedies for warts.

  • Salicylic acid medicine, like the ones available here for purchase, typically takes up to 12 weeks or even longer depending on how severe an individual’s case is.
  • Soak your foot in warm water for 10–15 minutes, then use a pumice stone or emery board to rub the wart. Pumice stones are available at local pharmacies and online retailers like Amazon.
  • Duct Tape: the anecdotal but unproven method of treating plantar warts is to cover the wart with duct tape. Experts believe that this decreases the oxygen supply and can decrease virus growth causing them, though there’s mixed evidence on whether it works. It is safe to try, however!
  • There are a few creams you can get over the counter to freeze plantar warts, though they may not work very well. A dermatologist might suggest using cryotherapy with liquid nitrogen instead.

How to avoid getting Plantar Warts/Verruca

To avoid getting plantar warts, we can be mindful of what we expose our feet to.

  1. We should wear shoes or sandals in locker rooms and communal showers.
  2. Keeping the feet clean and dry at all times is key!
  3. It’s also best not to share personal items with other people such as a pumice stone or emery board that may have been exposed previously.
  4. When you put on your shoes, make sure they are CLEAN AND DRY.
  5. Baring your feet in public areas can lead to a viral infection if the virus particles get into contact with our skin without protection from calloused soles.

Conclusion

This article discusses plantar warts/ verruca and how to treat them. If you experience any pain or difficulties with your feet, then it is important that you follow the steps outlined by your podiatrist. They should include home care and medications prescribed as well as necessary future appointments for check-ups. If your wart treatment isn’t working, further diagnostic evaluations by a foot doctor might be necessary to rule out other causes for the growth.

Instead of trying to remove warts themselves, you should be aware that these remedies are unproven and may even do more harm than good.

If you’re suffering from plantar warts, our doctors can help get rid of these pesky viruses. Please schedule an appointment with one of our podiatrists in KatyCypress, Copperfield, Galleria, or Memorial. They are highly trained and experienced at treating this condition.

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How can obesity affect your foot health?

How can obesity affect your foot health?

The increase of obesity in the United States has led to an increased risk for foot problems. Not only does it result in wear-and-tear, such as arthritis and heel pain; but also type II diabetes can develop from little more than one pound above your ideal body weight. 

Weight control is an essential component that can alleviate foot pain by decreasing the pressure on your ankle during simple activities like walking up a flight of stairs or going up an incline.

Obesity and Foot Problems

Obese individuals are more likely to experience foot stress fractures due to increased pressure from the additional weight.

Foot stress fractures are tiny cracks in bones that occur when foot muscles can no longer withstand the impact of heavy pressure or shock. They’re a problem for more than just runners— obese people have an increased risk too!

For those who carry excess pounds, the weight increases how much force is in impact. This can make it easier to fracture a bone since there’s more impact with their bodyweight when walking or running.

It is important for the obese to know that one symptom of a stress fracture can be foot swelling, which usually happens when weight gain or poor blood circulation results in excess fluid buildup.

Obese individuals often suffer from foot flattening, a condition that can lead to pain and difficulty walking.

In one study, researchers found that the pain of plantar fasciitis is most often related to excess weight.

There are many causes of the flat foot, including genetics and injury. People who spend extended time barefoot or without proper arch support can suffer from slow-building flattening. Obesity is one common cause that needs specialized supportive footwear to stop the problem. 

Weighing too much can cause swelling, so many people with swollen feet wear flip-flops or open shoes. But these unsupportive shoes exacerbate the problem!

Obese individuals are at high risk for developing diabetic foot problems, which can lead to serious complications.

Those with obesity concerns are at higher risk for developing type 1 or type 2 diabetes; in fact, obesity is the leading risk factor of becoming diabetic.

High blood glucose levels can result in neuropathy or damage to the nerves, which often means that these people cannot feel pain. This may cause sores and infections because of poor coordination from not feeling their feet properly.

People who have decreased feeling in their feet are more likely to fall, leading them at risk for fractures.

Prevent Serious Complications with our Board Certified Podiatrists in Katy Foot Care- Your Total Foot Care Specialist!

Nutrition is the key to controlling foot pain for many obese people. A simple change such as learning more about nutrition and its benefits on the feet can make a big impact!

A podiatrist can help alleviate some of the stress on your ankles and feet with proper, supportive footwear. They also design custom orthotics for those who have medical conditions related to weight problems like diabetes.

Worried about your foot health? Our office is here to help. Visit us today for a quick appointment in Katy, Cypress, Copperfield, Galleria, or Memorial. Give us a call at 281.395.FEET (3338)!

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Plantar Fasciitis – Symptoms and Causes

Plantar fascitis - Symptoms and causes

Those who suffer from plantar fasciitis, a condition often referred to as heel spur syndrome while some spurs are objects projecting outwards or downwards which can cause stabbing pain. If you have a foot injury, it is critical that you visit a doctor as soon as possible to determine the best treatment.

What Is Plantar Fascitis?

 Plantar fasciitis is a condition that causes pain in the bottom of your feet. It occurs when there’s inflammation to a band of tissue, or fascia, extending from the heel to the toes. It usually starts out as irritation and then progresses into being inflamed which results in painful symptoms at the bottom of our foot area

Plantar fascitis illustration

Causes

People who work long hours on their feet, such as those in the healthcare and retail industries are often susceptible to developing plantar fasciitis. This is especially true for obese individuals or people with flat feet because they put an abnormal strain on their heels when standing which can lead to this condition.

Symptoms

The symptoms of plantar fasciitis are:

  1. Painful, throbbing heel pain that worsens with standing and walking.
  2. It may be accompanied by a snapping sensation felt in the back of your foot as you flex it up or down. 
  3. Swelling on the bottom of your heel is also possible along with joint stiffness due to inflammation

If someone is suffering from plantar fasciitis, getting up in the morning or sitting for long periods of time can be very painful. After a few minutes of walking, however, their foot starts to feel better because it stretches out this tight tissue. Sometimes if the pain subsides but returns after spending long amounts of time on one’s feet then medical attention may be needed as that could indicate possible damage to the plantar fascia.

Diagnosis

The foot and ankle surgeon will take your medical history, examine the heel of your foot, rule out all possible causes for pain other than plantar fasciitis. In addition to this process, diagnostic imaging studies may be used. They can distinguish different types of heel pain in patients with plantar fasciitis/heel spur syndrome but rarely cause discomfort.

Nonsurgical Remedies

To treat plantar fasciitis, begin with home first-line strategies. 

  1. Stretch exercises can ease your pain and assist recovery after a workout or walk.
  2. Avoid going barefoot to prevent undue strain on the heel.
  3. Ice packs reduce inflammation by 20 minutes multiple times per day while placed in thin towels between skin and ice pack for safety reasons!
  4. Rest your heel by limiting activities. 
  5. Wear supportive shoes that have good arch support and a raised heel to reduce stress on the plantar fascia, or wear shoe modifications. 
  6. The appropriate treatment for treating pain and inflammation after oral surgery is to take an over-the-counter, non-steroidal anti-inflammatory drug (NSAID), such as ibuprofen.

If you have pain after several weeks, it’s a good idea to go see your foot and ankle surgeon. They will likely add one or more of these treatment approaches: 

  1. Softening the impact with padding in the shoe; 
  2. Supporting your feet using taping or strapping;
  3. Correcting structural abnormalities with custom orthotic devices that fit into shoes;
  4. Reducing inflammation by injecting corticosteroids for relief.
  5. If you are experiencing foot pain, a removable walking cast may be used to keep it immobile for several weeks. This is done by attaching an orthopedic felt and fiberglass or plaster-like material around your damaged area before wrapping it with gauze bandages and securing them against the leg using Velcro straps.
  6. A night splint can also provide relief from plantar fasciitis while sleeping; this device keeps toes pointed up at 90 degrees throughout sleep hours – limiting movement that could aggravate symptoms during waking hours. A night splint helps the plantar fasciitis. This device may be useful to you every night when going to bed because muscles typically relax overnight, allowing more room in your ligaments and tendons which reduces pressure on inflamed tissue along arch regions of feet.

Surgical Treatment

To decrease foot and heel pain, surgery is considered the last option. If there is no improvement after several months of non-surgical methods, surgery may be the best option for you. This will help improve your quality of life over time by easing symptoms and improving function in that area.

Long-term Plantar Fascitis Treatment

In order to prevent further injury or outbreaks, it is important that you continue with preventive measures such as wearing supportive shoes and stretching regularly. Custom orthotic devices are also an effective way of long-term care along with continued physical therapy treatments.

Visit a Podiatrist

If you need to get your foot and/or ankle health back on track, there is no substitute for a podiatrist.

Foot and ankle surgeons are the leading experts in caring for feet & ankles today – they have more education than any other doctor on how exactly your body works! Do not let pain and discomfort hold you back from daily routines. Get in touch with our foot doctors in Katy, Cypress, Copperfield, Galleria, or Memorial to get the treatment that will fix any issues quickly!

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Dry Skin and Foot Problems

Dry Skin and Foot Problems

Your feet need protection from foreign elements just as much as any other part of our bodies; without them, we cannot walk or do anything else so on an average day they receive some form of treatment whether applying moisturizer after washing one’s face with a cleanser or carefully removing calluses regularly by using pedicure tools at home consistently. Read this blog post for tips to protect your feet from dry skin and foot problems!

Dry Skin and Foot Problems

Factors Cause Dry Skin on the Feet

Standing for too long or wearing poorly fitting shoes can cause irritation on the feet. This leads to dry, calloused, and cracked skin because of pressure being put on specific areas of the foot.

Factors that may lead to a condition called ichthyosis Vulgaris include:

  • Abnormal production/distribution of sebum (oily secretion from glands in your pores) by your sebaceous glands causes abnormal scaling
  • Overactive bacterial growth due to underlying medical conditions such as uncontrolled diabetes mellitus or herpes infection
  • A lack of moisture causes dry, cracked, and flaking skin on the heel and sole because these areas have fewer oil glands than other parts of your body.
  • Standing for too long or wearing poorly fitting shoes can cause irritation on the feet. This leads to dry, calloused, and cracked skin because of pressure being put on specific areas of the foot.
  • The hot and humid environment created by closed shoes, such as sneakers and boots, can lead to dry skin of the feet. This causes thick or cracked areas on your foot which could be extremely painful.
  • When using soap, it is important to make sure that the skin does not remain dry. This can be done by rinsing off all of the excess product from the feet after washing them.
  • Dry skin is a common problem that can occur in older people. As we age, our bodies produce less oil, and the natural oils produced are unable to maintain moisture which causes dryness of the skin making it appear duller than younger adults with well-moisturized faces.
  • Diuretics, medications that treat congestive heart failure or hypertension by increasing the flow of urine from your body, can also cause dry skin on the feet.
  • An athlete’s foot is a fungal infection that causes itchiness, rashes between the toes and underneath the feet.
  • For those who suffer from eczema, dry and itchy patches of skin can develop anywhere on the body. Some common symptoms include redness with bumps or blisters that often ooze fluid when scratched.
  • Psoriasis is a condition that causes thick areas of scales on the skin. They are often found in places like the feet where there are lots of folds and creases to trap moisture inside with little airflow which makes them very susceptible to infection.
  • People who suffer from hypothyroidism may experience extremely dry patches due to their glands being unable to regulate sweat production leading to sufferers having flaking or cracking skin as well as being more prone to bacterial infections

Diabetes and foot health

Neuropathy, a condition that is caused by uncontrolled diabetes and affects the health of peripheral nerves in the feet or hands, makes it difficult to feel the moisture on one’s skin. This can result in dryness and cracks around toes which may lead to infections like plantar warts if not addressed promptly with medical attention.

People with diabetes are at risk for developing nerve damage, but there are many factors that may increase the likelihood. These include: 

  • a hard to manage blood sugar level;
  • having had diabetes for an extended period of time, especially when your levels often exceed target;
  • being overweight or obese and older than forty years old;
  • high blood pressure and cholesterol.

Checking for foot problems regularly can prevent serious medical emergencies that could require amputation.

Nasty Foot Odor

Foot odor is a common problem that can be caused by excessive perspiration and bacteria growth on the feet. Sweaty feet are a breeding ground for bacteria. There are 250,000 sweat glands on each foot that produce about 1 cup (500 ml) of perspiration daily. Combined with the bacteria that can grow on your feet, it results in offensive smelling odors and gases produced by these microbes.

The following treatments may be useful, depending on the cause of the problem:

  • Mild antiseptic solutions or soaps 
  • Avoid synthetic socks and wear shoes that allow good air circulation and let the feet breathe. Change out of wet/sweaty shoes as soon as possible to prevent fungal growth on them. Wearing cotton socks will also absorb moisture better than synthetics which are more likely to stay damp overnight thus providing ideal conditions for fungus.

Tips for Healthy Feet

  • It is important to check your feet every day for any changes in the skin, nails, or even blisters. If you can’t see all of your feet with a mirror, ask someone close by for help!
  • Make sure to wash your feet every day in warm (not hot) water. Make sure you dry off completely afterward because damp skin could lead to getting fungus or bacteria growing and resulting in the athlete’s foot. Lastly, apply lotion but not between each toe as this could cause discomfort if it gets into more sensitive areas like our genitals!
  • If you are going to wear shoes, be sure not to go barefoot. Look inside your footwear and make sure there aren’t any pebbles or other objects in them that might hurt your feet when you wear the shoes.
  • When trying on new shoes, it is recommended that you wear them for a few hours every day until they’re completely comfortable. 
  • Toenails are an important part of our feet and it’s essential to keep them healthy. To do so, trim your nails straight across with a nail file or have a podiatrist cut the nails for you if they’re too hard to reach or see.
  • If you remove corns or calluses yourself, they could burn your skin. If this happens to be the case, then please visit a foot doctor so that he can help you. 
  • To keep your blood flowing, put your feet up when you’re sitting and wiggle your toes every now and then.
  • Make sure to pick activities that are friendly for your feet like walking, riding a bike, or swimming. Ask a podiatrist what is best for you and any avoidable ones.

Ask a Podiatrist Help at Your total foot care specialist

When you have diabetes, it is extremely important to take care of your feet. Schedule a visit with our board-certified foot doctors to get your feet checked and make sure that they are in good condition. If possible, go see a podiatrist once per year (or more often depending on your diabetes) for an exam where they will check the health of your feet.

You can prevent serious complications from diabetes by paying close attention to your feet. Our experienced foot doctors are ready to help you at any of our locations including Katy, Cypress, Copperfield, Galleria, or Memorial. Please contact us today!

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Dealing with Verruca? Here’s How to Pick the Right Verruca Treatment

While lump-like patches of warts can grow anywhere on the skin, only the warts that grow on the sole of the feet are referred to as Verrucas or verrucae. The culprit behind this condition is a virus called human papillomavirus. While warts are usually harmless, the ones growing on the soles of the feet can cause serious pain and discomfort. In this blog, you will learn how to pick the right verruca treatment.

The Classification of Warts

Warts are generally classified by their shape and size. Warts or verrucas growing on the feet are usually flat. Some different types of warts classified by their shape and size include:

  1. Plane or flat warts
  2. Common warts
  3. Mosaic warts are a colony of more than one wart
  4. Filiform or finger-like warts

The Transmission

Verrucae, which are also called Plantar Warts, can spread easily. While this condition isn’t considered contagious, its transmission with skin-to-skin contact is very common. Walking barefoot in an environment with contaminated objects and surfaces, like gyms and the surrounding areas of a swimming pool, is a common way of transmission of this virus. Wet or damaged skin increases the probability of transmission.

The Infection

After transmission, the symptoms of the infection do not show up right away. It can take a couple of weeks or in some cases even months for warts to show up on the hands and feet. Warts that appear, once the virus has invaded a body, are tough, round in shape, and can be white or yellow in color. This condition can cause serious pain if warts appear on a sensitive area. At this point, it is important to know that the warts verruca caused by human papillomavirus are not the same as genital warts.

The Prevention

Verrucae can cause a lot of pain and discomfort to an infected person. In some cases, this condition can also cause the patient to develop a limp. Human papillomavirus commonly spreads by skin-to-skin contact. The exposure of damp and damaged skin to a contaminated surface also provides this virus an opportunity to infiltrate and infect a new host. Below are some tips for avoiding and further spreading the verruca infection.

  • Avoid scratching, picking or touching the verruca
  • Wear shower shoes and avoid sharing towels
  • Don’t share footwear with other people
  • Use verruca socks or waterproof plaster to cover the infected area while going for a swim
  • Dry your feet properly after a swim or a shower
  • Protect damaged skin with plasters or dressing to avoid infection

The Treatment

In some cases, the infection can go away on its own but it can also persist on a long-term basis if left unsupervised. Unless the warts are causing you pain, there is no need to treat them. But if the condition is causing you discomfort during your day-to-day activities then you can opt for one of the following wart treatments.

1. Salicylic acid: Salicylic Acid can be found in a number of lotions and special plasters. It comes as a paint or a gel that burns off the top layer of the wart. The results come in slowly and the application of the gel has to be continued for 3 months to completely treat the condition. This treatment can fail or the warts can come back if the patient gives up too early.

2. Cryotherapy or Freezing Treatment: Cryotherapy or Freezing the warts can be a good treatment. This treatment can be received from podiatrists, general physicians, and nurses. Liquid nitrogen is used in this procedure for freezing and destroying the wart tissue. 

It usually takes up to 6 sessions for the complete removal of verruca. However, this treatment can be a bit painful and cause blisters on the skin surrounding warts. It is also more expensive as compared to the usage of Salicylic Acid.

3. Verruca Needling: This treatment requires the puncturing of the verruca layer with the help of a sterilized needle. The idea behind this treatment is to stimulate a response by the body to kill the viruses in the infected area. The needling process causes bleeding but the procedure is carried out under local anesthesia and the patients do not feel any pain. It is important not to take anti-inflammatory painkillers after the procedure as they can halt the body’s immune response for killing the viruses. This procedure is mainly used for verrucas that are really tough.

4. Swift Microwave Therapy: This directs microwave energy with the help of a probe to heat up and destroy the infected verruca tissue. Depending on the depth of the verruca tissue, one or more sessions can help cure the infection. This process does not cause inflammation or damage to blood vessels and is considered one of the most effective treatments for removing warts.

5. Cantharidin: This treatment is a formulated substance that can be oily or a colloidal film, that is applied directly on the wart by a trained podiatrist. The podiatrist will let the cantharidin dry before sealing it with a water resistance bandage for 4-6 hours. After the removal of the bandage, wash the area with soap and water. It is normal for a blister to form in the next 24-48 hours. In a few days, the blister will dry up and fall off. In severe cases, local anesthesia may be required. Otherwise, healing begins within a week.

6. Laser Treatment: Laser treatment works best for large warts that have grown internally. Local anesthesia may be applied to the area prior to treatment. The laser pinpoints the blood vessels inside the wart which prevents damage to other tissues. The laser directs rapid pulses to heat the capillaries that connects the wart. This seals the blood vessel and kills the wart’s tissues. Warts are eliminated with one to five laser sessions depending on the severity of the wart.

Take Action Now

If you’re suffering from plantar warts, our doctors can help you get rid of these pesky viruses. Please call to schedule your appointment in our Katy, Cypress, or Memorial offices with one of our highly trained and experienced podiatrists.