Monday, July 25, 2016

Painful 5th toe! What is a lister corn?

At least one new patient per day comes in complaining of a painful baby toe. I will write a series of blogs over the next few weeks about the fifth or "baby" toe over the next few weeks. The little toe often has problems as it is shorter than the rest, often not perfectly straight, and rubs on our shoes. Plus, since it is on the outside of the foot and small, it can get injured more easily. Today's blog will focus on the lister corn. This is a corn that develops on the side of the fifth toenail. Patients often complain of a split nail or fungal nail when they have this condition. The area is thicker than the nail on most occasions and can be very irritating because of the thickness and subsequent rubbing against the shoe. Additionally, the toe itself may be in a curved position with this condition, which makes it easier to develop a lister corn. In office treatments for this condition include trimming, padding, and changes in shoe gear. Pointed or tight shoes and shoes made of harder materials may aggravate the lister corn. Additionally, surgery to straighten the toe and remove any prominent bone under the corn may be needed. Toe pain? Give us a call, 708-763-0580. Dr. Bender

Wednesday, July 20, 2016

Ouch-What do I do about my twisted ankle?

Every week, I run into friends or patients around town who say they twisted their ankle and want to know what to do. Often, there is pain and swelling with an injured ankle. Plus, it may be hard to walk! The ankle is a complex structure made up of three bones: tibia, fibula, and talus. Additionally, there are numerous tendons, ligaments, and other soft tissue structures that hold it together and help it to function. In the office, after examining the ankle, we occasionally do x-rays to make sure the bones are not broken. The one problem with ankle injuries is that the soft tissue structures may be injured and do not show up on x-ray. Sometimes, additional testing with an MRI is necessary to determine the extent of the soft tissue injury. Frequently, the ligaments on the outside of the ankle are the ones injured with an ankle sprain or injury. There are a variety of ways to treat ankle injuries and often depend on the severity of the injury: walking boots, casts, strapping or taping, injections, medications, physical therapy, rest, ice, and on occasion, surgery. So, what should you do on your own if you injure your ankle? It is important to begin RICE. Rest. Ice. Compression (an ace bandage or something similar). Elevation. Other things that may help include anti-inflammatory medicine like motrin and supportive shoes or boots if you must walk. Barefoot walking, house shoes, and flip flops are discouraged when the ankle is injured due to the lack of support. Sore ankle? Give us a call, 708-763-0580, or schedule on for added convenience.